| Nola Psychotherapy Center | |
|
405 Gretna Boulevard Suite 200 Gretna LA 70053 | |
| (504) 500-7527 | |
| Not Available |
| Full Name | Nola Psychotherapy Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 405 Gretna Boulevard, Gretna, Louisiana |
| Authorized Official Name and Position | Gwyn Meredith (MANAGER) |
| Authorized Official Contact | 5042670257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nola Psychotherapy Center 405 Gretna Blvd Ste 200 Gretna LA 70053-4971 Ph: () - | Nola Psychotherapy Center 405 Gretna Boulevard Suite 200 Gretna LA 70053 Ph: (504) 500-7527 |
| NPI Number | 1073021663 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073021663 | NPI | - | NPPES |
| 600804356 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 3922 (Louisiana) | Secondary |
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