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General NPI Number Information
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NPI Number | 1346030848
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Entity Type | Organization
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Legal Business Name | INNER STRENGTH BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1000 CHINABERRY DR STE 502
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2462
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Country | US
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Telephone | 318-232-2749
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Fax | 318-620-4031
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Provider Business Mailing Address
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Address Line | 601 KINGSTON RD STE 300 1072
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City | BENTON
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State | LA
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Zip | 71006-3425
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Country | US
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Telephone | 318-232-2749
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Fax | 318-620-4031
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Authorized Official
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Title or Position | OWNER
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Name | DONALD GLYN GARDNER II
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Credential |
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Telephone | 318-232-2749
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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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