Organization
27TH AVENUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHANNA GALLO LPC (OWNER)
(504) 321-1751
Entity
Organization
Contact information
Practice address
650 POYDRAS ST, SUITE 1400 PMB0879, NEW ORLEANS, LA 70130-6116
(504) 321-1751
(877) 479-2005
Mailing address
650 POYDRAS ST, SUITE 1400 PMB0879, NEW ORLEANS, LA 70130-6116
(504) 321-1751
(877) 479-2005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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