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General NPI Number Information
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NPI Number | 1932906351
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Entity Type | Organization
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Legal Business Name | IAT CONSULTING
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 7330 FERN AVE STE 201
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City | SHREVEPORT
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State | LA
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Zip | 71105-4973
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Country | US
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Telephone | 318-250-1374
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 GENERAL MCNAIR DR
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City | BOSSIER CITY
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State | LA
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Zip | 71112-4758
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Country | US
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Telephone | 318-250-1374
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARJORIE ALDEN LYONS
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Credential | LPC
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Telephone | 318-250-1374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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