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General NPI Number Information
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NPI Number | 1922534700
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Entity Type | Organization
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Legal Business Name | GREY MATTER CONCEIRGE COUNSELING,INC.
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2902 BANKS ST APT A
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7310
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Country | US
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Telephone | 504-810-9886
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Fax |
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Provider Business Mailing Address
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Address Line | 2902 BANKS ST APT A
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ANICE BUTLET
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Credential |
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Telephone | 504-810-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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