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NPI Code Detail

MEDICARE: TAWANA M CARSON LPC-S

MEDICARE:   TAWANA M CARSON  LPC-S
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 Counselor7786LA

General Provider Information

NPI Number : 1881151801
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAWANA M CARSON LPC-S
Provider Business Mailing Address
First Line : PO BOX 772
Second Line :
City : YOUNGSVILLE
State : LA
Zip : 70592-0772
Country : US
Telephone Number : 337-353-0773
Fax Number :
Provider Business Practice Location Address
First Line : 317 OAK HILL LN
Second Line :
City : YOUNGSVILLE
State : LA
Zip : 70592-5571
Country : US
Telephone Number : 337-335-7272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 11/25/2024

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Directions to “ TAWANA M CARSON LPC-S” Practice Location

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