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General NPI Number Information
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NPI Number | 1659990190
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Entity Type | Organization
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Legal Business Name | HEART 2 HEART COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 4501 JACKSON EXTENSION STE C-302
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2555
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Country | US
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Telephone | 318-613-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 JACKSON EXTENSION STE C-302
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2555
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Country | US
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Telephone | 318-613-6407
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MS. ALAIYIA NICOLE WILLIAMS
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Credential | LCSW
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Telephone | 318-613-6407
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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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