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General NPI Number Information
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NPI Number | 1104240357
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Entity Type | Organization
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Legal Business Name | PROMISE FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 02/08/2014
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 1502 MAIN ST STE 3
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City | FRANKLIN
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State | LA
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Zip | 70538-3743
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Country | US
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Telephone | 337-256-4011
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Fax | 337-471-7165
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Provider Business Mailing Address
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Address Line | 1205 BARROW ST
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City | FRANKLIN
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State | LA
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Zip | 70538-3531
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Country | US
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Telephone | 337-256-4011
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Fax | 337-828-3230
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TANYA A JOHNSON
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Credential |
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Telephone | 337-471-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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