Provider Information for 1710538517
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LAURIE PITTMAN COUNSELING, LLC
Organization Subpart: NO
NPI: 1710538517
Last Updated: 2019-09-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710538517 | ||||||||
| Enumeration Date | 2019-09-23 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: LAURIE PITTMAN Title: Owner Phone: 8134479087 | ||||||||
| Mailing Address | 503 ABBY RD THIBODAUX, LA 70301-6024 United States Phone: 813-447-9087 | Fax: | ||||||||
| Primary Practice Address | 503 ABBY RD THIBODAUX, LA 70301-6024 United States Phone: 813-447-9087 | Fax: | ||||||||
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