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General NPI Number Information
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NPI Number | 1851254783
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Entity Type | Organization
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Legal Business Name | VICTORY HEALTH SOLUTION LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2337 LAURELWOOD DR
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City | BATON ROUGE
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State | LA
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Zip | 70816-3045
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Country | US
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Telephone | 225-888-4415
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Fax | 225-888-4415
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Provider Business Mailing Address
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Address Line | 2337 LAURELWOOD DR
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City | BATON ROUGE
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State | LA
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Zip | 70816-3045
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Country | US
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Telephone | 225-888-4415
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Fax | 225-888-4415
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | AKAMIN VICTOR NKENGAKA
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Credential | PH.D., LCSW, LAADC
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Telephone | 225-888-4415
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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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