# GERALD'S HEART BEHAVORIAL SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gerald's Heart Behavorial Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215795059
- **Authorized official:** DARRIA MOORE PMHNP (OWNER)
- **Authorized official phone:** (504) 982-7702

## Contact information

- **Practice address:** 711 E ASCENSION ST, GONZALES, LA 70737-3028
- **Practice address phone:** (504) 982-7702
- **Mailing address:** 6402 SOARING DR, GONZALES, LA 70737-8652
- **Mailing address phone:** (504) 982-7702

## 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:** 03/07/2024
- **Last updated:** 03/07/2024