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General NPI Number Information
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NPI Number | 1184342909
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Entity Type | Organization
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Legal Business Name | H.E.R. COUNSELING AND CLINICAL SERVICES
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 3000 KNIGHT ST STE 305
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City | SHREVEPORT
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State | LA
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Zip | 71105-2566
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Country | US
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Telephone | 318-266-7602
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Fax | 310-300-1196
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Provider Business Mailing Address
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Address Line | 843 ASCALON ST
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City | SHREVEPORT
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State | LA
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Zip | 71106-5201
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Country | US
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Telephone | 318-347-5843
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Fax | 318-300-1196
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Authorized Official
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Title or Position | OWNER
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Name | REKISHA ROSHELA PERKINS
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Credential | LCSW
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Telephone | 318-347-5843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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