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General NPI Number Information
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NPI Number | 1376289215
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Entity Type | Individual
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Provider Name | MEAGHAN LANDRY
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 100 ASMA BLVD STE 200E
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City | LAFAYETTE
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State | LA
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Zip | 70508-3858
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Country | US
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Telephone | 337-362-3813
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Fax |
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Provider Business Mailing Address
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Address Line | 147 ASHLAND CT
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City | LAFAYETTE
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State | LA
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Zip | 70508-5373
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Country | US
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Telephone | 337-288-1704
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8945
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License Number State | LA
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