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General NPI Number Information
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NPI Number | 1710593538
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Entity Type | Organization
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Legal Business Name | DEANNA MATHEWS, LPC, LLC
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 115 S CYPRESS ST STE A
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City | HAMMOND
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State | LA
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Zip | 70403-4234
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Country | US
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Telephone | 985-969-7156
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Fax | 986-247-0913
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Provider Business Mailing Address
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Address Line | 507 S HOLLY ST
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City | HAMMOND
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State | LA
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Zip | 70403-4305
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Country | US
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Telephone | 985-969-7156
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Fax | 985-247-0913
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Authorized Official
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Title or Position | OWNER
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Name | DEANNA MAGLIOLO MATHEWS
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Credential | M.ED., LPC-S
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Telephone | 985-969-7156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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