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General NPI Number Information
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NPI Number | 1528597176
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Entity Type | Individual
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Provider Name | MAYA HARVEY LPC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 9522 BROOKLINE AVE STE 111
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City | BATON ROUGE
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State | LA
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Zip | 70809-2028
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Country | US
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Telephone | 225-508-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 THOMAS H DELPIT DR
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City | BATON ROUGE
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State | LA
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Zip | 70802-6626
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Country | US
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Telephone |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8487
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License Number State | LA
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