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Organization
PREVENTIVE OUTCOMES AND WELLNESS LLC
Active
Organization
PREVENTIVE OUTCOMES AND WELLNESS LLC
Active
Other names
PREVENTIVE OUTCOMES AND WELLNESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JELINDA GIBSON (CEO)
(504) 309-9991
Entity
Organization
Contact information
Practice address
7700 HAYNE BLVD, NEW ORLEANS, LA 70126-1933
(504) 309-9991
Mailing address
7700 HAYNE BLVD, NEW ORLEANS, LA 70126-1933
(504) 309-9991
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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