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General NPI Number Information
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NPI Number | 1336801380
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY COUNSELING AND CONSULTING SERVICES OF CENLA, LLC
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 4501 JACKSON ST STE C278
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2555
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Country | US
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Telephone | 318-513-3115
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Fax | 318-513-3110
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Provider Business Mailing Address
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Address Line | 4501 JACKSON ST STE C278
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2555
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Country | US
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Telephone | 318-513-3115
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Fax | 318-513-3110
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VONDA LAUTRE'C WILLIAMS
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Credential | MSW, LCSW-BACS
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Telephone | 318-730-6115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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