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General NPI Number Information
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NPI Number | 1912748781
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Entity Type | Organization
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Legal Business Name | BRIGHTMINDS OF LA
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2235 POYDRAS ST UNIT A
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7576
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Country | US
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Telephone | 504-309-9991
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Fax | 504-900-8555
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Provider Business Mailing Address
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Address Line | 2235 POYDRAS ST UNIT A
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7576
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Country | US
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Telephone | 504-309-9991
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Fax | 504-900-8555
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Authorized Official
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Title or Position | CEO/COO
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Name | ANICE BUTLER
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Credential | LCSW-BACS
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Telephone | 504-309-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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