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General NPI Number Information
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NPI Number | 1922483411
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Entity Type | Organization
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Legal Business Name | FOREVERCARE RESOURCE CENTER
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 528 FOXWOOD LN
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City | LA PLACE
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State | LA
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Zip | 70068-8100
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Country | US
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Telephone | 504-344-4854
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 VETERANS MEMORIAL BLVD STE 305
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City | KENNER
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State | LA
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Zip | 70062-4023
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Country | US
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Telephone | 504-344-4854
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEISHONDA GREENWOOD
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Credential | LCSW
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Telephone | 504-344-4854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State | LA
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