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NPI 1962993329

NPI 1962993329 : TRI-PARISH COUNSELING SERVICES LLC : LIVINGSTON, LA

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General NPI Number Information
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    NPI Number           |    1962993329
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRI-PARISH COUNSELING SERVICES LLC 
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Dates
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    Enumeration Date     |    05/22/2018
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    Last Update Date     |    05/22/2018
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Provider Practice Location Address
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    Address Line         |    29724 S. MAGNOLIA ST. 
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    City                 |    LIVINGSTON
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    State                |    LA
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    Zip                  |    70754
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    Country              |    US
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    Telephone            |    985-474-9902
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 522 
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    City                 |    LIVINGSTON
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    State                |    LA
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    Zip                  |    70754-0522
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    Country              |    US
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    Telephone            |    985-474-9902
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LPC
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    Name                 |     LAURA ANN WOODS 
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    Credential           |    MED, LPC
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    Telephone            |    985-474-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    6129
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    License Number State |    LA
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