Organization
MENTAL RESTORATION INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLORIA DENISE MAYS N.P. (NURSE PRACTITIONER)
(318) 251-1233
Entity
Organization
Contact information
Practice address
300 W ARIZONA AVE, STE. B., RUSTON, LA 71270-4306
(318) 251-1233
(318) 254-5023
Mailing address
300 W ARIZONA AVE, STE. B., RUSTON, LA 71270-4306
(318) 251-1233
(318) 254-5023
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
LA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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