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General NPI Number Information
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NPI Number | 1336948769
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Entity Type | Organization
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Legal Business Name | BROOK HAVEN COUNSELING AND CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1500 LAFAYETTE ST STE 160
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City | GRETNA
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State | LA
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Zip | 70053-5778
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Country | US
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Telephone | 504-434-2807
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 GENERAL COLLINS AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70114-5027
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Country | US
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Telephone | 504-994-4847
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EBONY ALLEN
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Credential | LCSW-BACS
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Telephone | 504-994-4847
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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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Taxonomy #2
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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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