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Organization
UNIVERITY LLC
Active
Organization
UNIVERITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEBRIA BUNTYN (OWNER)
(504) 264-2926
Entity
Organization
Contact information
Practice address
3761 PAUGER ST, NEW ORLEANS, LA 70122-6820
(504) 264-2926
Mailing address
2700 WYTCHWOOD DR # A, METAIRIE, LA 70003-4548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/19/2018
Last updated
10/21/2019
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