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NPI Code Detail

MEDICARE: THAIS L. DUHON, LCSW, LLC

MEDICARE: THAIS L. DUHON, LCSW, LLC
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
1251S00000XCommunity/Behavioral Health Agency2576LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699070722
Entity Type Code : Organization
Provider Name (Legal Business Name) : THAIS L. DUHON, LCSW, LLC
Provider Business Mailing Address
First Line : 422 GLENDALE DR
Second Line :
City : METAIRIE
State : LA
Zip : 70001-5530
Country : US
Telephone Number : 504-833-0230
Fax Number : 504-834-2378
Provider Business Practice Location Address
First Line : 118 RIDGELAKE DR
Second Line :
City : METAIRIE
State : LA
Zip : 70001-5312
Country : US
Telephone Number : 504-833-0230
Fax Number : 504-834-2378
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : THAIS L DUHON
Credential :
Telephone Number : 504-833-0230
Provider Enumeration Date : 01/20/2011
Last Update Date : 01/20/2011

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