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General NPI Number Information
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NPI Number | 1770954752
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Entity Type | Organization
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Legal Business Name | YOUTH AND FAMILIES EMPOWERMENT SERVICES
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 311 CHURCH ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-4612
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Country | US
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Telephone | 318-451-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 200 RAPIDES DR STE A
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City | NATCHITOCHES
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State | LA
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Zip | 71457-3105
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Country | US
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Telephone | 337-254-1415
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. KENDRICK RASHARD JACKSON
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Credential |
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Telephone | 337-254-1415
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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 | 600959437
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License Number State | LA
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 600959437
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License Number State | LA
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