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General NPI Number Information
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NPI Number | 1720726441
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Entity Type | Organization
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Legal Business Name | ELS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 6217 LESLIE ST
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City | METAIRIE
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State | LA
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Zip | 70003-3230
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Country | US
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Telephone | 504-251-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 6217 LESLIE ST
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City | METAIRIE
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State | LA
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Zip | 70003-3230
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Country | US
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Telephone | 504-251-6277
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ELLEN LYNN SANTOLUCITO
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Credential | LPC
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Telephone | 504-251-6277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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