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NPI Code Detail

MEDICARE: FAMILY THERAPY INSTITUTE OF GREATER NEW ORLEANS, LLC

MEDICARE: FAMILY THERAPY INSTITUTE OF GREATER NEW ORLEANS, LLC
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
11041C0700XClinical Social Worker45LA

General Provider Information

NPI Number : 1588771877
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY THERAPY INSTITUTE OF GREATER NEW ORLEANS, LLC
Provider Business Mailing Address
First Line : 1529 RIVER OAKS RD W
Second Line : SUITE #106
City : NEW ORLEANS
State : LA
Zip : 70123-2162
Country : US
Telephone Number : 504-891-2464
Fax Number : 504-891-7882
Provider Business Practice Location Address
First Line : 1529 RIVER OAKS RD W
Second Line : SUITE #106
City : NEW ORLEANS
State : LA
Zip : 70123-2162
Country : US
Telephone Number : 504-891-2464
Fax Number : 504-891-7882
Authorized Official
Title or Position : DIRECTOR
Name : DR. GEORGE S. GREENBERG
Credential : PH.D
Telephone Number : 504-905-4120
Provider Enumeration Date : 08/24/2006
Last Update Date : 08/22/2020

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Directions to “FAMILY THERAPY INSTITUTE OF GREATER NEW ORLEANS, LLC ” Practice Location

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