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General NPI Number Information
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NPI Number | 1548188394
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Entity Type | Organization
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Legal Business Name | SELFLESS ESTEEM, LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 204 GREY EAGLE DR
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City | SHREVEPORT
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State | LA
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Zip | 71115-2985
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Country | US
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Telephone | 818-732-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 810 N DIXIE DR STE J #3314
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City | CLUTE
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State | TX
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Zip | 77531-1518
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Country | US
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Telephone | 818-732-0266
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GINA LEGGIO
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Credential | LMFT
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Telephone | 818-732-0266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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