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NPI 1245086735

NPI 1245086735 : DB COUNSELING AND WELLNESS CENTER, LLC : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1245086735
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    Entity Type          |    Organization 
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    Legal Business Name  |    DB COUNSELING AND WELLNESS CENTER, LLC 
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Dates
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    Enumeration Date     |    04/25/2024
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    Last Update Date     |    04/25/2024
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Provider Practice Location Address
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    Address Line         |    137 N CLARK ST STE 1 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70119-5246
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    Country              |    US
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    Telephone            |    504-345-9387
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3518 LANG ST 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70131-7126
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    Country              |    US
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    Telephone            |    504-432-7876
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. KIMBERLY DEWITT BAKER 
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    Credential           |    LPC
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    Telephone            |    504-345-9387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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