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General NPI Number Information
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NPI Number | 1407537814
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Entity Type | Organization
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Legal Business Name | COUNSELING AND WELLNESS SERVICES OF LOUISIANA
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 8261 SUMMA AVE STE B
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City | BATON ROUGE
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State | LA
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Zip | 70809-3452
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Country | US
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Telephone | 985-273-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 10525 MANCHAC PASS AVE
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City | BATON ROUGE
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State | LA
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Zip | 70817-8335
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Country | US
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Telephone | 225-937-3274
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ALYCIA H BUECHE
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Credential | LPC
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Telephone | 225-937-3274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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