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General NPI Number Information
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NPI Number | 1508062852
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Entity Type | Organization
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Legal Business Name | MANSFIELD MENTAL HEALTH
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 501 LOUISIANA ST
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City | MANSFIELD
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State | LA
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Zip | 71052-2621
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Country | US
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Telephone | 318-872-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 501 LOUISIANA ST
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City | MANSFIELD
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State | LA
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Zip | 71052-2621
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Country | US
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Telephone | 318-872-5576
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. KATIE BERNARD
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Credential | LCP-I
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Telephone | 318-872-5576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State | LA
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