| The Family Practice At Northshore Counseling And Wellness, Llc | |
|
201 Holiday Blvd Suite 120 Covington LA 70433-5088 | |
| (985) 624-2942 | |
| (985) 231-1373 |
| Full Name | The Family Practice At Northshore Counseling And Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 Holiday Blvd, Covington, Louisiana |
| Authorized Official Name and Position | Andre Judice (OWNER) |
| Authorized Official Contact | 9856242942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Practice At Northshore Counseling And Wellness, Llc 201 Holiday Blvd Suite 120 Covington LA 70433-5088 Ph: (985) 624-2942 | The Family Practice At Northshore Counseling And Wellness, Llc 201 Holiday Blvd Suite 120 Covington LA 70433-5088 Ph: (985) 624-2942 |
| NPI Number | 1932641669 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 11/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932641669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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