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Organization

MELODY BENNETT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELODY L BENNETT LPC, LMFT (LICENSED PROFESSIONAL COUNSELOR)
(985) 345-1121
Entity
Organization

Contact information

Practice address
906 C M FAGAN DR STE A3, HAMMOND, LA 70403-6056
(985) 345-1121
(985) 662-5165
Mailing address
906 C M FAGAN DR STE A3, HAMMOND, LA 70403-6056

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2890
LA
106H00000X
Marriage & Family Therapist
891
LA

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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