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General NPI Number Information
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NPI Number | 1881025807
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Entity Type | Organization
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Legal Business Name | SOLACE CHATEAU LLC
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Dates
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Enumeration Date | 12/01/2013
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 2305 N HULLEN ST STE 11
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City | METAIRIE
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State | LA
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Zip | 70001-1988
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Country | US
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Telephone | 504-656-4284
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Fax | 866-652-6607
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Provider Business Mailing Address
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Address Line | PO BOX 56811
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City | NEW ORLEANS
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State | LA
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Zip | 70156-6811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER-PSYCHOTHERAPIST
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Name | MRS. NIKKI D LEE
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Credential | MFT, LPC-S, CIMHP
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Telephone | 504-656-4284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5226
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 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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