Organization
GENTILLY BEHAVIORAL HEALTH LLC
Active
Organization
GENTILLY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MOTT (LCSW)
(504) 405-1774
Entity
Organization
Contact information
Practice address
1500 LAFAYETTE ST STE 152, GRETNA, LA 70053-5777
(504) 405-1774
Mailing address
5115 BACCICH ST, NEW ORLEANS, LA 70122-6212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
09/05/2025
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