# MGPMHNP LLC

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

## Provider details

- **NPI number:** 1619708948
- **Authorized official:** MEGAN LEE ANN TRASK PMHNP-BC (SOLE OWNER)
- **Authorized official phone:** (337) 226-8938

## Contact information

- **Practice address:** 323 EVERGREEN ST, BUNKIE, LA 71322-1307
- **Practice address phone:** (318) 346-3143
- **Mailing address:** PO BOX 142, PITKIN, LA 70656-0142
- **Mailing address phone:** (337) 226-8938

## 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:** 08/08/2024
- **Last updated:** 08/08/2024