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General NPI Number Information
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NPI Number | 1346470440
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Entity Type | Organization
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Legal Business Name | INTEGRATED FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 09/26/2017
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Provider Practice Location Address
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Address Line | 3604 CANAL ST SUITE 314
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6111
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Country | US
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Telephone | 504-822-4333
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Fax | 504-822-4339
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Provider Business Mailing Address
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Address Line | 3604 CANAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6111
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Country | US
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Telephone | 504-822-4333
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Fax | 504-822-4339
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Authorized Official
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Title or Position | OWNER/PROGRAM DIRECTOR
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Name | MRS. MICHELLE ANN CROSSLEY
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Credential | LMSW
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Telephone | 504-822-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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