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General NPI Number Information
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NPI Number | 1932077732
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2526 HODGES ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-7310
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Country | US
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Telephone | 337-427-8230
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Fax | 337-270-9427
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Provider Business Mailing Address
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Address Line | 1541 BELFIELD RD
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City | LAKE CHARLES
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State | LA
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Zip | 70611-4715
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Country | US
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Telephone | 337-427-8230
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Fax | 337-270-9427
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | LOGAN TIJERINA
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Credential | M.A., LPC
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Telephone | 337-427-8230
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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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