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General NPI Number Information
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NPI Number | 1881151801
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Entity Type | Individual
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Provider Name | TAWANA M CARSON LPC-S
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Gender | Female
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 317 OAK HILL LN
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5571
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Country | US
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Telephone | 337-335-7272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 772
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-0772
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Country | US
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Telephone | 337-353-0773
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7786
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License Number State | LA
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