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General NPI Number Information
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NPI Number | 1740371277
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Entity Type | Individual
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Provider Name | FELICIA HENSLEY WHITAKER LPC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 1915 MCARTHUR DR
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City | MANSFIELD
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State | LA
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Zip | 71052-4505
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Country | US
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Telephone | 318-872-1309
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Fax | 318-872-1337
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | MANSFIELD
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State | LA
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Zip | 71052-0300
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Country | US
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Telephone | 318-872-5023
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Fax | 903-988-0243
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 14951
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License Number State | TX
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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 | 4150
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License Number State | LA
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