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General NPI Number Information
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NPI Number | 1902529704
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Entity Type | Organization
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Legal Business Name | 17 EME - EMPOWER MOTIVATE ELEVATE LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 4213B DHEMECOURT ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6726
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Country | US
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Telephone | 504-252-3889
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Fax | 985-202-5327
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Provider Business Mailing Address
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Address Line | 4213B DHEMECOURT ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6726
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Country | US
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Telephone | 504-252-3889
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Fax | 985-202-5327
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Authorized Official
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Title or Position | OWNER/OPERATOR/PROVIDER
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Name | MS. CELESTE GUNNING
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Credential | APRN-CNP, PMHNP-BC
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Telephone | 504-252-3889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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