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General NPI Number Information
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NPI Number | 1164008710
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Entity Type | Organization
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Legal Business Name | BY FAITH COUNSELING LLC
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 1401 HUDSON LN STE 232
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City | MONROE
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State | LA
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Zip | 71201-6032
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Country | US
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Telephone | 318-450-0739
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 HUDSON LNE, SUITE 232
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-450-0739
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELINDA CLARK
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Credential | CIT
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Telephone | 318-450-0739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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