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General NPI Number Information
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NPI Number | 1659029387
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Entity Type | Organization
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Legal Business Name | LIFE P.R.E.S.S. EFFECT, LLC
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Dates
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Enumeration Date | 03/11/2022
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 7855 HOWELL BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70807-5256
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Country | US
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Telephone | 985-338-9665
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | SAINT AMANT
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State | LA
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Zip | 70774-0655
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Country | US
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Telephone | 337-210-3287
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Fax |
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Authorized Official
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Title or Position | PMHNP, CNP
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Name | DAVIDRA KABA
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Credential | APRN
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Telephone | 337-210-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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