| Theratique | |
|
4440 Canal Street New Orleans LA 70119 | |
| (504) 669-1980 | |
| Not Available |
| Full Name | Theratique |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4440 Canal Street, New Orleans, Louisiana |
| Authorized Official Name and Position | Hope M Gersovitz (OWNER) |
| Authorized Official Contact | 5046691980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theratique 4440 Canal Street New Orleans LA 70119 Ph: (504) 669-1980 | Theratique 4440 Canal Street New Orleans LA 70119 Ph: (504) 669-1980 |
| NPI Number | 1093184384 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093184384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2811 (Louisiana) | Primary |
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