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General NPI Number Information
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NPI Number | 1407504087
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Entity Type | Organization
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Legal Business Name | CONNECT COUNSELING LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 12385 HAYNES STREET
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City | CLINTON
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State | LA
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Zip | 70722
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Country | US
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Telephone | 225-719-3680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1818
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City | CLINTON
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State | LA
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Zip | 70722-1818
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Country | US
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Telephone | 225-719-3680
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER/CLINICAL
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Name | BRANDILYN PHIPPS HODGES
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Credential | LCSW
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Telephone | 225-719-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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