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General NPI Number Information
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NPI Number | 1992454714
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Entity Type | Organization
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Legal Business Name | CORE MENTAL HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/20/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 142 HUNDRED OAKS DR
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5481
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Country | US
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Telephone | 337-350-8077
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Fax |
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Provider Business Mailing Address
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Address Line | 4400A AMBASSADOR CAFFERY PKWY # 386
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City | LAFAYETTE
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State | LA
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Zip | 70508-6706
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | CHRISTIE PAUL DRONETTE
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Credential | LPC
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Telephone | 337-350-8077
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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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