Healthcare Provider Details

I. General information

NPI: 1720304306
Provider Name (Legal Business Name): PYRAMID RESOURCES ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 CANAL ST STE 301
NEW ORLEANS LA
70119-6246
US

IV. Provider business mailing address

3330 CANAL ST STE 301
NEW ORLEANS LA
70119-6246
US

V. Phone/Fax

Practice location:
  • Phone: 504-827-2701
  • Fax: 504-827-2715
Mailing address:
  • Phone: 504-827-2701
  • Fax: 504-827-2715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TERRY MARGARET MOGILLES
Title or Position: VICE-PRESIDENT
Credential: RN
Phone: 504-827-2701