Healthcare Provider Details

I. General information

NPI: 1487565024
Provider Name (Legal Business Name): GABRIELLE ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2813 CONCORDIA DR
LA PLACE LA
70068-2213
US

IV. Provider business mailing address

2813 CONCORDIA DR
LA PLACE LA
70068-2213
US

V. Phone/Fax

Practice location:
  • Phone: 504-326-8577
  • Fax:
Mailing address:
  • Phone: 504-326-8577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: