| Green Ribbon Gulf Coast Llc | |
|
145 Allen Toussaint Blvd Ste 402 New Orleans LA 70124-2578 | |
| (504) 813-3826 | |
| Not Available |
| Full Name | Green Ribbon Gulf Coast Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 145 Allen Toussaint Blvd Ste 402, New Orleans, Louisiana |
| Authorized Official Name and Position | Edward George Copain (OWNER) |
| Authorized Official Contact | 5048133826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Ribbon Gulf Coast Llc 1100 Poydras St Ste 100 New Orleans LA 70163-0100 Ph: (504) 813-3826 | Green Ribbon Gulf Coast Llc 145 Allen Toussaint Blvd Ste 402 New Orleans LA 70124-2578 Ph: (504) 813-3826 |
| NPI Number | 1790548410 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790548410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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