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Organization

NOLA PSYCHOTHERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWYN MEREDITH LPC-S (MANAGER)
(504) 267-0257
Entity
Organization

Contact information

Practice address
405 GRETNA BOULEVARD, SUITE 200, GRETNA, LA 70053
(504) 500-7527
Mailing address
405 GRETNA BLVD STE 200, GRETNA, LA 70053-4971

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3922
LA
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600804356
LA
Enumeration date
01/17/2018
Last updated
02/20/2018
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