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NPI 1538054762

NPI 1538054762 : SCUDERI COUNSELING, LLC : MANDEVILLE, LA

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General NPI Number Information
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    NPI Number           |    1538054762
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCUDERI COUNSELING, LLC 
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Dates
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    Enumeration Date     |    06/10/2025
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    1531 MARIGNY AVE 
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    City                 |    MANDEVILLE
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    State                |    LA
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    Zip                  |    70448-3846
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    Country              |    US
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    Telephone            |    504-655-2299
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1531 MARIGNY AVE 
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    City                 |    MANDEVILLE
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    State                |    LA
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    Zip                  |    70448-3846
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    Country              |    US
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    Telephone            |    504-655-2299
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COUNSELOR
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    Name                 |     JOSHUA  SCUDERI 
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    Credential           |    LPC, LAC
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    Telephone            |    504-655-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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