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General NPI Number Information
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NPI Number | 1285312355
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Entity Type | Organization
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Legal Business Name | LUMEL MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1121 LOBDELL BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-2235
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Country | US
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Telephone | 225-494-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 LOBDELL BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-2235
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Country | US
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Telephone | 225-494-0000
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Fax | 225-319-1844
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Authorized Official
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Title or Position | PROVIDER
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Name | OLUFUNMILAYO KWENTUA
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Credential |
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Telephone | 225-803-7593
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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 |
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License Number State |
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