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Organization
GERALD'S HEART BEHAVORIAL SPECIALISTS
Active
Organization
GERALD'S HEART BEHAVORIAL SPECIALISTS
Active
Other names
Gerald's Heart Behavorial Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIA MOORE PMHNP (OWNER)
(504) 982-7702
Entity
Organization
Contact information
Practice address
711 E ASCENSION ST, GONZALES, LA 70737-3028
(504) 982-7702
Mailing address
6402 SOARING DR, GONZALES, LA 70737-8652
(504) 982-7702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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