Organization
MLM THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEE MULLER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(504) 723-0881
Entity
Organization
Contact information
Practice address
4919 CANAL ST, 204, NEW ORLEANS, LA 70119-5848
(504) 723-0881
Mailing address
4919 CANAL ST, 204, NEW ORLEANS, LA 70119-5848
(504) 723-0881
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
7575
LA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
7575
LA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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