Organization
GRATEFUL HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE JACKSON-WILLIAMS (CEO)
(225) 380-7295
Entity
Organization
Contact information
Practice address
20022 EASTWOOD DR, ZACHARY, LA 70791-5365
(225) 380-7295
Mailing address
20022 EASTWOOD DR, ZACHARY, LA 70791-5365
(225) 380-7295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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