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General NPI Number Information
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NPI Number | 1891530424
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Entity Type | Organization
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Legal Business Name | MINDSET MATTERS BEHAVIORAL HEALTH LLC.
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 401 EDWARDS STREET STE 830 #822
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City | SHREVEPORT
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State | LA
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Zip | 71101
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Country | US
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Telephone | 877-360-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 8172 HIGHWAY 28 W
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City | ALEXANDRIA
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State | LA
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Zip | 71303-7770
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Country | US
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Telephone | 318-455-9998
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Fax | 318-383-0937
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. LOUIS JACOB VANASSELBERG
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Credential | MS, LPC, NCC
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Telephone | 318-455-9998
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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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