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NPI 1467062265

NPI 1467062265 : B E COUNSELING SERVICES : LACOMBE, LA

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General NPI Number Information
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    NPI Number           |    1467062265
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    Entity Type          |    Organization 
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    Legal Business Name  |    B E COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    08/06/2020
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    Last Update Date     |    10/07/2020
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Provider Practice Location Address
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    Address Line         |    31196 HIGHWAY 190 
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    City                 |    LACOMBE
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    State                |    LA
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    Zip                  |    70445
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    Country              |    US
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    Telephone            |    504-446-0114
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3315 AVENUE D 
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    City                 |    MANDEVILLE
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    State                |    LA
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    Zip                  |    70448-4820
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    Country              |    US
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    Telephone            |    504-446-0114
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CREDENTIALING SPECIALIST
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    Name                 |     KIMBERLY  DAVIS 
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    Credential           |    
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    Telephone            |    912-484-3879
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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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