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General NPI Number Information
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NPI Number | 1447726187
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Entity Type | Individual
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Provider Name | SHELIA L SANDERS LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/20/2018
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1905 W THOMAS ST
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City | HAMMOND
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State | LA
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Zip | 70401-2901
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Country | US
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Telephone | 985-606-3311
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Fax | 985-605-7231
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Provider Business Mailing Address
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Address Line | 48314 LABONTE LN
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City | TICKFAW
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State | LA
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Zip | 70466-3629
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Country | US
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Telephone | 985-662-6672
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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 | PLPC10005
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW11389
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License Number State | LA
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