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General NPI Number Information
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NPI Number | 1730909482
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Entity Type | Organization
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Legal Business Name | LDV EMPOWERMENT SERVICES, LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 68 HAMPTON HILLS DR
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City | MOUNDVILLE
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State | AL
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Zip | 35474-1919
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Country | US
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Telephone | 205-496-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 68 HAMPTON HILLS DR
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City | MOUNDVILLE
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State | AL
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Zip | 35474-1919
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Country | US
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Telephone | 205-496-3898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAWANDA DENISE VANHORN-ROSSELL
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Credential | LICSW-S
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Telephone | 205-496-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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