| Gentilly Behavioral Health Llc | |
|
1500 Lafayette St Ste 152 Gretna LA 70053-5777 | |
| (504) 405-1774 | |
| Not Available |
| Full Name | Gentilly Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1500 Lafayette St Ste 152, Gretna, Louisiana |
| Authorized Official Name and Position | Shannon Mott (LCSW) |
| Authorized Official Contact | 5044051774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentilly Behavioral Health Llc 5115 Baccich St New Orleans LA 70122-6212 Ph: () - | Gentilly Behavioral Health Llc 1500 Lafayette St Ste 152 Gretna LA 70053-5777 Ph: (504) 405-1774 |
| NPI Number | 1538876263 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538876263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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