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NPI 1720968134

NPI 1720968134 : SHIANNE SYED, M. ED, LPC, NCC, LLC : LAKE CHARLES, LA

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General NPI Number Information
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    NPI Number           |    1720968134
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHIANNE SYED, M. ED, LPC, NCC, LLC 
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Dates
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    Enumeration Date     |    09/05/2025
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    213 DOCTOR MICHAEL DEBAKEY DR 
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    City                 |    LAKE CHARLES
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    State                |    LA
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    Zip                  |    70601-5974
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    Country              |    US
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    Telephone            |    337-366-1850
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    Fax                  |    337-429-8141
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Provider Business Mailing Address
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    Address Line         |    213 DOCTOR MICHAEL DEBAKEY DR 
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    City                 |    LAKE CHARLES
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    State                |    LA
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    Zip                  |    70601-5974
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    Country              |    US
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    Telephone            |    337-366-1850
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    Fax                  |    337-477-7787
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Authorized Official
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    Title or Position    |    CREDENTIALING COORDINATOR
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    Name                 |     HEIDI  NYBERG 
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    Credential           |    
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    Telephone            |    337-249-5209
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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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