Organization
PREVENTIVE OUTCOMES AND WELLNESS LLC
Active
Other names
PREVENTIVE OUTCOMES AND WELLNESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JELINDA GIBSON (CEO)
(504) 309-9991
Entity
Organization
Contact information
Practice address
7700 HAYNE BLVD, NEW ORLEANS, LA 70126-1933
(504) 309-9991
Mailing address
7700 HAYNE BLVD, NEW ORLEANS, LA 70126-1933
(504) 309-9991
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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