Tides Center For Wellness Llc | |
804 N Causeway Blvd Metairie LA 70001-5364 | |
(504) 330-4560 | |
Not Available |
Full Name | Tides Center For Wellness Llc |
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Speciality | Social Worker |
Location | 804 N Causeway Blvd, Metairie, Louisiana |
Authorized Official Name and Position | Catherine Patteson Poehling (OWNER) |
Authorized Official Contact | 5043304560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tides Center For Wellness Llc 804 N Causeway Blvd Metairie LA 70001-5364 Ph: () - | Tides Center For Wellness Llc 804 N Causeway Blvd Metairie LA 70001-5364 Ph: (504) 330-4560 |
NPI Number | 1316609787 |
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Provider Enumeration Date | 10/12/2021 |
Last Update Date | 10/12/2021 |
Certification Date | 10/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316609787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
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