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General NPI Number Information
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NPI Number | 1790223444
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Entity Type | Individual
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Provider Name | TEKIRA TASHONDA TIFFANY FOX
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Gender | Female
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 1500 LAFAYETTE ST STE 140B
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City | GRETNA
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State | LA
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Zip | 70053-5762
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Country | US
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Telephone | 504-533-9152
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Fax | 504-533-9154
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Provider Business Mailing Address
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Address Line | 230 E MAIN ST # 1264
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City | GRAMERCY
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State | LA
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Zip | 70052-3177
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Country | US
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Telephone | 225-623-9887
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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 | PLPC10495
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License Number State | LA
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Taxonomy #2
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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 | PLPC10495
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PLPC10495
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | PLPC10495
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License Number State | LA
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