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NPI Code Detail

MEDICARE: MISS DIAMOND D TRIGGS LPC

MEDICARE: MISS DIAMOND D TRIGGS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6603LA

General Provider Information

NPI Number : 1225422496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DIAMOND D TRIGGS LPC
Provider Business Mailing Address
First Line : 2020 E 70TH ST STE 301
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5332
Country : US
Telephone Number : 318-553-5591
Fax Number : 318-553-5592
Provider Business Practice Location Address
First Line : 2020 E 70TH ST STE 301
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5332
Country : US
Telephone Number : 318-553-5591
Fax Number : 318-553-5592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 09/29/2021

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Directions to “ MISS DIAMOND D TRIGGS LPC” Practice Location

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