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General NPI Number Information
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NPI Number | 1578037776
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Entity Type | Organization
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Legal Business Name | NAMI SOUTHEAST LOUISIANA
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 2051 8TH ST
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City | HARVEY
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State | LA
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Zip | 70058-4001
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Country | US
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Telephone | 504-368-1944
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Fax | 504-368-9784
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Provider Business Mailing Address
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Address Line | PO BOX 2055
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City | MANDEVILLE
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State | LA
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Zip | 70470-2055
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Country | US
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Telephone | 985-626-6538
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NICK RICHARD
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Credential |
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Telephone | 985-626-6538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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