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Organization
ABOVE & BEYOND CARE PROFESSIONALS LLC
Active
Organization
ABOVE & BEYOND CARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE L FULLER (PRESIDENT-OFFICE MANAGER)
(318) 934-1919
Entity
Organization
Contact information
Practice address
1305 DELHI ST, BOSSIER CITY, LA 71111-4626
(318) 934-1919
(318) 934-1921
Mailing address
1305 DELHI ST, BOSSIER CITY, LA 71111-4626
(318) 934-1919
(318) 934-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1161021
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1161021
—
LA
01
—
4504951
EMC PERMITTER NUMBER
LA
Enumeration date
01/04/2007
Last updated
08/22/2020
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