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General NPI Number Information
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NPI Number | 1104528249
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Entity Type | Organization
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Legal Business Name | VITALITY COUNSELING
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 2955 RIDGELAKE DR STE 208
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City | METAIRIE
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State | LA
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Zip | 70002-4962
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Country | US
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Telephone | 504-874-5883
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Fax |
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Provider Business Mailing Address
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Address Line | 2955 RIDGELAKE DR STE 208
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City | METAIRIE
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State | LA
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Zip | 70002-4962
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Country | US
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Telephone | 504-874-5883
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTINA BILLIOT
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Credential | LPC-S
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Telephone | 504-874-5883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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