| Sesa Suban Wellness Center, Llc | |
|
2714 Canal St 407 New Orleans LA 70119-5548 | |
| (504) 827-2115 | |
| (504) 827-2116 |
| Full Name | Sesa Suban Wellness Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2714 Canal St, New Orleans, Louisiana |
| Authorized Official Name and Position | Sonia L Gilkey (OWNER, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5049313945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sesa Suban Wellness Center, Llc 2714 Canal St 407 New Orleans LA 70119-5548 Ph: (504) 827-2115 | Sesa Suban Wellness Center, Llc 2714 Canal St 407 New Orleans LA 70119-5548 Ph: (504) 827-2115 |
| NPI Number | 1881954576 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881954576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9711 (Louisiana) | Primary |
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