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NPI Code Detail

MEDICARE: MS. GINA MARIE LIUZZA

MEDICARE: MS. GINA MARIE LIUZZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396119558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GINA MARIE LIUZZA
Provider Business Mailing Address
First Line : 4300 S I 10 SERVICE RD W
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7405
Country : US
Telephone Number : 504-301-9990
Fax Number :
Provider Business Practice Location Address
First Line : 4300 S I 10 SERVICE RD W STE 215
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7436
Country : US
Telephone Number : 504-301-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2015
Last Update Date : 04/22/2022

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Directions to “ MS. GINA MARIE LIUZZA ” Practice Location

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