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General NPI Number Information
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NPI Number | 1275499899
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Entity Type | Organization
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Legal Business Name | FAMILY BEHAVIORAL CONNECTIONS LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1900 LAMY LN STE I
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City | MONROE
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State | LA
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Zip | 71201-9200
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Country | US
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Telephone | 318-953-5944
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Fax | 318-716-3252
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Provider Business Mailing Address
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Address Line | PO BOX 4071
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City | MONROE
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State | LA
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Zip | 71211-4071
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Country | US
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Telephone | 318-953-5944
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Fax | 318-716-3252
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SHAUNTEE L SLACK
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Credential | LPC-S
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Telephone | 318-953-5944
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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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