Healthcare Provider Details

I. General information

NPI: 1902047897
Provider Name (Legal Business Name): THE GATHERING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 SAINT CLAUDE AVE
ARABI LA
70032-1552
US

IV. Provider business mailing address

7265 SAINT CLAUDE AVE
ARABI LA
70032-1552
US

V. Phone/Fax

Practice location:
  • Phone: 504-766-7941
  • Fax: 504-386-4230
Mailing address:
  • Phone: 504-766-7941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number4005
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: GWENDOLYN U O'NEIL
Title or Position: BILLING MANAGER
Credential:
Phone: 504-766-7941