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Organization
MY SUITE DREAM, LLC
Active
Organization
MY SUITE DREAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN MARSHALL (CREDENTIALING AGENT)
(504) 327-6893
Entity
Organization
Contact information
Practice address
103 OLD HICKORY ST, CHALMETTE, LA 70043-4524
(504) 300-6849
(504) 373-5922
Mailing address
103 OLD HICKORY ST, CHALMETTE, LA 70043-4524
(504) 300-6849
(504) 373-5922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/10/2024
Last updated
04/17/2024
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