| Therapeutic Alliance Nola Llc | |
|
3128 Bore St Metairie LA 70001-5334 | |
| (504) 261-4753 | |
| Not Available |
| Full Name | Therapeutic Alliance Nola Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3128 Bore St, Metairie, Louisiana |
| Authorized Official Name and Position | Michael John Ruiz (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5042614753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance Nola Llc 3128 Bore St Metairie LA 70001-5334 Ph: (504) 261-4753 | Therapeutic Alliance Nola Llc 3128 Bore St Metairie LA 70001-5334 Ph: (504) 261-4753 |
| NPI Number | 1073205373 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073205373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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