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General NPI Number Information
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NPI Number | 1932589587
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE RECOVERY THERAPIES, LLC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3801 N CAUSEWAY BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70002-1756
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Country | US
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Telephone | 504-344-3489
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 N CAUSEWAY BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70002-1756
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Country | US
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Telephone | 504-344-3489
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SIDNEY JAMES MILTZ
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Credential | M.ED., LPC
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Telephone | 252-202-1848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 952
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8762
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3419
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License Number State | LA
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