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General NPI Number Information
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NPI Number | 1497230627
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Entity Type | Organization
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Legal Business Name | TRANSITIONS COUNSELING CENTER
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 703 VERSAILLES BLVD STE A
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2327
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Country | US
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Telephone | 318-290-3002
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Fax |
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Provider Business Mailing Address
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Address Line | 703 VERSAILLES BLVD STE A
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2327
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Country | US
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Telephone | 318-290-3002
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KNAKITA BAILEY
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Credential | RN
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Telephone | 318-290-3002
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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 |
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License Number State |
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