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NPI Code Detail

MEDICARE: DAPHNNIE MARTIN

MEDICARE: DAPHNNIE MARTIN
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
1101YM0800XMental Health CounselorPLPC111161LA

General Provider Information

NPI Number : 1841122447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHNNIE MARTIN
Provider Business Mailing Address
First Line : 111 WISTERIA LN
Second Line :
City : LULING
State : LA
Zip : 70070-3230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 122 SIERRA CT
Second Line :
City : METAIRIE
State : LA
Zip : 70001-5326
Country : US
Telephone Number : 504-422-4213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2026
Last Update Date : 05/30/2026

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Directions to “ DAPHNNIE MARTIN ” Practice Location

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