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General NPI Number Information
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NPI Number | 1821868407
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Entity Type | Organization
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Legal Business Name | AVENUE COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 824 ELMWOOD PARK BLVD STE 125
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City | NEW ORLEANS
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State | LA
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Zip | 70123-3360
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Country | US
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Telephone | 504-421-9446
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Fax |
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Provider Business Mailing Address
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Address Line | 824 ELMWOOD PARK BLVD STE 125
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City | NEW ORLEANS
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State | LA
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Zip | 70123-3360
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Country | US
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Telephone | 504-421-9446
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Fax |
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Authorized Official
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Title or Position | OWNER, LPC
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Name | MORGAN ASHLEY LIRETTE
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Credential |
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Telephone | 504-421-9446
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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 |
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License Number State |
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