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General NPI Number Information
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NPI Number | 1376287102
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Entity Type | Organization
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Legal Business Name | TRENTON AND GODEAUX COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 108 STATE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5718
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Country | US
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Telephone | 337-915-0900
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Fax | 337-915-0910
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Provider Business Mailing Address
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Address Line | PO BOX 2331
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City | SULPHUR
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State | LA
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Zip | 70664-2331
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Country | US
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Telephone | 337-915-0900
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Fax | 337-915-0910
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | PAUL GODEAUX
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Credential | LPC, LMFT
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Telephone | 337-915-0900
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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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