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General NPI Number Information
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NPI Number | 1760104707
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Entity Type | Individual
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Provider Name | CARLY HERRERA LMFT, PLPC
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Gender |
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 417 MCMILLAN RD
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City | WEST MONROE
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State | LA
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Zip | 71291-5325
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Country | US
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Telephone | 318-388-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 228 LENOX BRG
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City | STERLINGTON
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State | LA
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Zip | 71280-3346
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Country | US
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Telephone | 210-606-4026
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFT1474
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License Number State | LA
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