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General NPI Number Information
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NPI Number | 1215660345
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND HEALTHCARE CENTER
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 6141 RIVER RD
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City | SHREVEPORT
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State | LA
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Zip | 71105-4833
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Country | US
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Telephone | 318-617-8316
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Fax | 318-216-3062
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Provider Business Mailing Address
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Address Line | 6141 RIVER RD
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City | SHREVEPORT
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State | LA
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Zip | 71105-4833
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Country | US
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Telephone | 318-617-8316
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Fax | 318-216-3062
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHINYERE HUNTER
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Credential | BS, MS, AMS-C
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Telephone | 318-617-8316
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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 | 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 |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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