| Mlm Therapy Services Llc | |
|
4919 Canal St 204 New Orleans LA 70119-5848 | |
| (504) 723-0881 | |
| Not Available |
| Full Name | Mlm Therapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4919 Canal St, New Orleans, Louisiana |
| Authorized Official Name and Position | Mary Lee Muller (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5047230881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlm Therapy Services Llc 4919 Canal St 204 New Orleans LA 70119-5848 Ph: (504) 723-0881 | Mlm Therapy Services Llc 4919 Canal St 204 New Orleans LA 70119-5848 Ph: (504) 723-0881 |
| NPI Number | 1972038032 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 6800173782 |
|---|---|
| Medicare Enrollment ID | O20170502000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972038032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 7575 (Louisiana) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 7575 (Louisiana) | Secondary |
| Provider Name | Mary L Muller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689056590 PECOS PAC ID: 9032495122 Enrollment ID: I20170403002026 |
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