Therapeutic Alliance Nola Llc | |
3128 Bore St Metairie LA 70001-5334 | |
(504) 261-4753 | |
Not Available |
Full Name | Therapeutic Alliance Nola Llc |
---|---|
Speciality | Counselor - Professional |
Location | 3128 Bore St, Metairie, Louisiana |
Authorized Official Name and Position | Michael John Ruiz (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 5042614753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapeutic Alliance Nola Llc 3128 Bore St Metairie LA 70001-5334 Ph: (504) 261-4753 | Therapeutic Alliance Nola Llc 3128 Bore St Metairie LA 70001-5334 Ph: (504) 261-4753 |
NPI Number | 1073205373 |
---|---|
Provider Enumeration Date | 05/24/2023 |
Last Update Date | 05/24/2023 |
Certification Date | 05/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073205373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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