| Healing Room | |
|
4038 Canal St New Orleans LA 70119-6021 | |
| (504) 355-1117 | |
| Not Available |
| Full Name | Healing Room |
|---|---|
| Speciality | Clinic/Center |
| Location | 4038 Canal St, New Orleans, Louisiana |
| Authorized Official Name and Position | Tina L Pazos (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5043551117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Room 4038 Canal St New Orleans LA 70119-6021 Ph: (504) 355-1117 | Healing Room 4038 Canal St New Orleans LA 70119-6021 Ph: (504) 355-1117 |
| NPI Number | 1003682089 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 8820449218 |
|---|---|
| Medicare Enrollment ID | O20240110002388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003682089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tina L Pazos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396191722 PECOS PAC ID: 9739530122 Enrollment ID: I20240110002506 |
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