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General NPI Number Information
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NPI Number | 1689341539
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Entity Type | Organization
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Legal Business Name | CENTER FOR ADVOCATING RESTORING AND EMPOWERING COUNSELING LLC
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 5902 BUNCOMBE RD
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City | SHREVEPORT
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State | LA
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Zip | 71129
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Country | US
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Telephone | 318-200-0866
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 E 70TH ST # 379
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City | SHREVEPORT
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State | LA
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Zip | 71105-5115
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Country | US
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Telephone | 318-200-0866
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Fax |
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Authorized Official
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Title or Position | CEO/ LCSW
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Name | CRYSTAL WARD
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Credential |
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Telephone | 318-200-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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