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General NPI Number Information
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NPI Number | 1730804105
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Entity Type | Organization
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Legal Business Name | ESSENCE OF THERAPY & CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 242 CROSSING NORTH ST
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City | THIBODAUX
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State | LA
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Zip | 70301-6837
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Country | US
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Telephone | 985-322-6877
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Fax | 985-202-8129
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Provider Business Mailing Address
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Address Line | 242 CROSSING NORTH ST
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City | THIBODAUX
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State | LA
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Zip | 70301-6837
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Country | US
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Telephone | 985-322-6877
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Fax | 985-202-8129
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Authorized Official
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Title or Position | OWNER
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Name | QIANA DANIELS-JONES
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Credential | LCSW
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Telephone | 985-217-8949
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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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