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General NPI Number Information
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NPI Number | 1265568034
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Entity Type | Organization
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Legal Business Name | LOCAL PSYCH SERVICES, LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 117 MARIE ST
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City | SUNSET
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State | LA
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Zip | 70584-6100
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Country | US
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Telephone | 337-662-0004
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Fax | 337-643-8407
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Provider Business Mailing Address
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Address Line | PO BOX 1737
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City | SCOTT
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State | LA
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Zip | 70583-1737
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Country | US
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Telephone | 337-288-8877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA DUGAS LABICHE
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Credential | APRN
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Telephone | 337-288-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP0489
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License Number State | LA
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