# NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144673765
- **Authorized official:** MR. GERREN WILSON NP (OWNER)
- **Authorized official phone:** (504) 330-6038

## Contact information

- **Practice address:** 3520 GENERAL DEGAULLE DR, STE 4098, NEW ORLEANS, LA 70114-6757
- **Practice address phone:** (504) 330-6308
- **Mailing address:** 3320 N ARNOULT RD, APT 226, METAIRIE, LA 70002-3396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016