Bastion Community Of Resilience | |
1901 Mirabeau Ave New Orleans LA 70122-3248 | |
(888) 737-5577 | |
Not Available |
Full Name | Bastion Community Of Resilience |
---|---|
Speciality | Social Worker - Clinical |
Location | 1901 Mirabeau Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Rachel Schwenk (CLINICAL DIRECTOR) |
Authorized Official Contact | 5048102028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bastion Community Of Resilience 1901 Mirabeau Ave New Orleans LA 70122-3248 Ph: () - | Bastion Community Of Resilience 1901 Mirabeau Ave New Orleans LA 70122-3248 Ph: (888) 737-5577 |
NPI Number | 1154104834 |
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Provider Enumeration Date | 08/16/2023 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154104834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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