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General NPI Number Information
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NPI Number | 1588910947
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Entity Type | Organization
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Legal Business Name | POST TRAUMA INSTITUTE OF LOUISIANA
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 11911 JUSTICE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70816-2373
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Country | US
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Telephone | 225-751-5412
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Fax | 225-751-5847
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Provider Business Mailing Address
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Address Line | PO BOX 83814
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City | BATON ROUGE
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State | LA
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Zip | 70884-3814
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Country | US
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Telephone | 225-751-5412
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Fax | 225-751-5847
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. LAWRENCE SULLIVAN SALONE SR.
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Credential | PHD
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Telephone | 225-751-5412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 19D2061587
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0304
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License Number State | LA
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10554
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4245
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | MPAP 000015
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License Number State | LA
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Taxonomy #8
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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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