| Pivotal Moments Outreach Inc | |
|
166 Newbury Ln Sunset LA 70584-6144 | |
| (337) 308-4574 | |
| Not Available |
| Full Name | Pivotal Moments Outreach Inc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 166 Newbury Ln, Sunset, Louisiana |
| Authorized Official Name and Position | Scholar Jenkins (CEO) |
| Authorized Official Contact | 3373084574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Moments Outreach Inc 166 Newbury Ln Sunset LA 70584-6144 Ph: (337) 308-4574 | Pivotal Moments Outreach Inc 166 Newbury Ln Sunset LA 70584-6144 Ph: (337) 308-4574 |
| NPI Number | 1932946837 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932946837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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