# PREVENTIVE OUTCOMES AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREVENTIVE OUTCOMES AND WELLNESS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700436540
- **Authorized official:** JELINDA GIBSON (CEO)
- **Authorized official phone:** (504) 309-9991

## Contact information

- **Practice address:** 7700 HAYNE BLVD, NEW ORLEANS, LA 70126-1933
- **Practice address phone:** (504) 309-9991
- **Mailing address:** 7700 HAYNE BLVD, NEW ORLEANS, LA 70126-1933
- **Mailing address phone:** (504) 309-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2019
- **Last updated:** 09/13/2019