Organization
HOLISTIC CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN WASHINGTON (DIRECTOR)
50428142222
Entity
Organization
Contact information
Practice address
1433 N CLAIBORNE AVE, NEW ORLEANS, LA 70116-1810
(504) 281-4222
(504) 281-4235
Mailing address
1433 N CLAIBORNE AVE, NEW ORLEANS, LA 70116-1810
(504) 281-4222
(504) 281-4235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PCA12585
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1667692
—
LA
Enumeration date
03/09/2007
Last updated
08/22/2020
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