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General NPI Number Information
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NPI Number | 1134676398
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Entity Type | Organization
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Legal Business Name | DILLON COUNSELING & TRAUMA HEALING CENTER, LLC
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 7809 AIRLINE DR STE 200
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City | METAIRIE
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State | LA
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Zip | 70003-6440
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Country | US
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Telephone | 504-333-2206
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Fax | 504-389-6219
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Provider Business Mailing Address
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Address Line | 1411 S WILSON AVE
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City | METAIRIE
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State | LA
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Zip | 70003-6223
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Country | US
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Telephone | 504-259-5407
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | SHONELL LENISHA DILLON
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Credential | LCSW
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Telephone | 504-333-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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