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General NPI Number Information
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NPI Number | 1962873257
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Entity Type | Organization
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Legal Business Name | LIFE CHANGING COUNSELING, LLC
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 14241 COURSEY BLVD SUITE A-12 258
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City | BATON ROUGE
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State | LA
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Zip | 70817-1368
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Country | US
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Telephone | 225-229-1725
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Fax | 225-272-4813
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Provider Business Mailing Address
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Address Line | 10941 ELAIN DR
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City | BATON ROUGE
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State | LA
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Zip | 70814-5226
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Country | US
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Telephone | 225-229-1725
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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. KAREN STEVENS
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Credential | LPC
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Telephone | 225-229-1725
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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 | 4344
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License Number State | LA
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