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General NPI Number Information
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NPI Number | 1629969613
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Entity Type | Organization
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Legal Business Name | RENI O, LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 22795 HIGH RIDGE DR
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City | VACHERIE
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State | LA
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Zip | 70090-4231
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Country | US
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Telephone | 985-713-6353
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Fax | 225-265-2170
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Provider Business Mailing Address
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Address Line | PO BOX 575
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City | VACHERIE
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State | LA
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Zip | 70090-0575
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Country | US
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Telephone | 985-713-6353
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Fax | 225-265-2170
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MISS RENISHA CECILIA OUBRE
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Credential | LPC
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Telephone | 985-713-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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