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General NPI Number Information
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NPI Number | 1578191409
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE COUNSELING CENTER
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 1 GALLERIA BLVD STE 1900
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City | METAIRIE
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State | LA
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Zip | 70001-7553
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Country | US
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Telephone | 504-473-5333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 791409
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City | NEW ORLEANS
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State | LA
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Zip | 70179-1409
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Country | US
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Telephone | 504-473-5333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PRINCESS LANCLOS
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Credential | LPC
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Telephone | 504-473-5333
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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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