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General NPI Number Information
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NPI Number | 1417832056
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Entity Type | Organization
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Legal Business Name | GRACE COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 5520 JOHNSON ST STE K #533
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City | LAFAYETTE
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State | LA
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Zip | 70503
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Country | US
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Telephone | 337-247-1062
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Fax |
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Provider Business Mailing Address
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Address Line | 5520 JOHNSON ST ST K #533 SUITE K #533
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City | LAFAYETTE
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State | LA
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Zip | 70503
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Country | US
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Telephone | 337-247-1062
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. ASHANTI NETANYA SMITH
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Credential | MA
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Telephone | 337-247-1062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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