| Louisiana Center For Ocd And Related Disorders, Appc, Llc | |
|
3500 Canal St # 103 New Orleans LA 70119-6109 | |
| (504) 475-6234 | |
| Not Available |
| Full Name | Louisiana Center For Ocd And Related Disorders, Appc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3500 Canal St # 103, New Orleans, Louisiana |
| Authorized Official Name and Position | Kristin Evelyn Fitch (OWNER) |
| Authorized Official Contact | 5044756234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Center For Ocd And Related Disorders, Appc, Llc 3500 Canal St # 103 New Orleans LA 70119-6109 Ph: (504) 475-6234 | Louisiana Center For Ocd And Related Disorders, Appc, Llc 3500 Canal St # 103 New Orleans LA 70119-6109 Ph: (504) 475-6234 |
| NPI Number | 1801435862 |
|---|---|
| Provider Enumeration Date | 12/22/2019 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 0143657882 |
|---|---|
| Medicare Enrollment ID | O20200219001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801435862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristin Evelyn Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306380811 PECOS PAC ID: 2668744699 Enrollment ID: I20170825000086 |
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