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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