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General NPI Number Information
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NPI Number | 1316378201
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Entity Type | Organization
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Legal Business Name | LARRY C. PHINNEY, LICENSED PROFESSIONAL COUNSELING, LLC
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 40521 PUMPKIN CENTER RD
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City | HAMMOND
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State | LA
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Zip | 70403-1835
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Country | US
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Telephone | 985-320-0237
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Fax | 225-294-0404
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Provider Business Mailing Address
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Address Line | 30270 JERICHO DR
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City | ALBANY
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State | LA
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Zip | 70711-2818
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Country | US
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Telephone | 985-320-0237
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LARRY C PHINNEY
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Credential | LPC
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Telephone | 985-320-0237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2937
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License Number State | LA
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