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Organization
EPIPHANY HEALTHCARE OF HAMMOND
Active
Organization
EPIPHANY HEALTHCARE OF HAMMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MOORE CEO (EXECUTIVE DIRECTOR)
(985) 222-4050
Entity
Organization
Contact information
Practice address
906 CM FAGAN DRIVE BLDG A STE 6A, HAMMOND, LA 70403
(985) 956-7370
(985) 956-7371
Mailing address
906 CM FAGAN DRIVE BLDG A STE 6A, HAMMOND, LA 70403
(985) 222-4050
(985) 956-7371
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
2203783830
LA
Other
Enumeration date
04/24/2018
Last updated
09/11/2025
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