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General NPI Number Information
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NPI Number | 1700900347
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Entity Type | Organization
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Legal Business Name | CENLA COUNSELING ASSOCIATES, LLA
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2019A MACARTHUR DR # 10
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3720
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Country | US
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Telephone | 318-442-8803
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Fax |
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Provider Business Mailing Address
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Address Line | 2019A MACARTHUR DR # 10
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3720
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Country | US
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Telephone | 318-442-8803
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY S TAPLEY
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Credential | LCSW
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Telephone | 318-442-8803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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