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General NPI Number Information
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NPI Number | 1841166337
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Entity Type | Organization
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Legal Business Name | SST THERAPY LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 10646 AIRLINE HWY
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City | GONZALES
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State | LA
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Zip | 70737-7913
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Country | US
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Telephone | 337-243-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 14444 SUMMERSET DR
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City | GONZALES
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State | LA
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Zip | 70737-7087
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Country | US
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Telephone | 337-243-3320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAMONE VIRGINIA ST. CYR
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Credential |
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Telephone | 225-202-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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