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General NPI Number Information
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NPI Number | 1144853003
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Entity Type | Individual
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Provider Name | CARMEN NIKITA WARD-LEWIS B.A., M.A., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 1901 MANHATTAN BLVD, BUILDING D, SUITE 104
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City | HARVEY
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State | LA
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Zip | 70058
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Country | US
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Telephone | 504-372-6241
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Fax |
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Provider Business Mailing Address
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Address Line | 2404 KNIGHTWAY DR
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City | GRETNA
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State | LA
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Zip | 70056-3043
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Country | US
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Telephone | 504-638-0001
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5778
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License Number State | LA
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