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General NPI Number Information
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NPI Number | 1124548482
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Entity Type | Individual
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Provider Name | LACONGA HILLIARD SCOTT MSW, RSW
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 429 W AIRLINE HWY STE H
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City | LA PLACE
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State | LA
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Zip | 70068-3817
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Country | US
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Telephone | 985-618-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 17383 BULL RUSH AVE
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-2906
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Country | US
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Telephone | 225-772-4785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10514
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | LA
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