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General NPI Number Information
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NPI Number | 1588235212
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Entity Type | Organization
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Legal Business Name | AIMEE SCELFO LCSW LLC
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 143 RIDGEWAY DR STE 307
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City | LAFAYETTE
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State | LA
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Zip | 70503-3498
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Country | US
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Telephone | 337-288-6395
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Fax | 337-340-9240
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Provider Business Mailing Address
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Address Line | 110 FOX TROT LN
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City | SUNSET
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State | LA
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Zip | 70584-6226
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Country | US
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Telephone | 337-288-6395
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Fax | 337-340-9240
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Authorized Official
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Title or Position | OWNER
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Name | AIMEE SCELFO
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Credential | LCSW
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Telephone | 337-288-6395
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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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