Organization
QLER TOUCH LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAVIS (CEO)
(312) 961-4490
Entity
Organization
Contact information
Practice address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-9421
Mailing address
3436 MAGAZINE ST, NEW ORLEANS, LA 70115-2469
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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