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General NPI Number Information
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NPI Number | 1730850876
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Entity Type | Organization
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Legal Business Name | LITTLE CHERUBS OF CENTRAL LOUISIANA
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 7264 HIGHWAY 115 STE B
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City | BUNKIE
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State | LA
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Zip | 71322-4110
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Country | US
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Telephone | 318-359-0033
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Fax | 337-573-4307
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Provider Business Mailing Address
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Address Line | PO BOX 180
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City | BUNKIE
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State | LA
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Zip | 71322-0180
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Country | US
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Telephone | 318-359-0033
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Fax | 337-573-4307
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Authorized Official
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Title or Position | MEMBER
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Name | ELIZABETH LAMBETH
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Credential | RN
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Telephone | 318-359-0033
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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