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NPI Code Detail

MEDICARE: G-PSYCHIATRIC LLC

MEDICARE: G-PSYCHIATRIC 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1417790015
Entity Type Code : Organization
Provider Name (Legal Business Name) : G-PSYCHIATRIC LLC
Provider Business Mailing Address
First Line : 3014 DAUPHINE ST STE A385105
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-6754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3014 DAUPHINE ST STE A385105
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-6754
Country : US
Telephone Number : 337-335-8119
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANTHONY F KNATT
Credential :
Telephone Number : 337-335-8119
Provider Enumeration Date : 06/13/2024
Last Update Date : 06/13/2024

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Directions to “G-PSYCHIATRIC LLC ” Practice Location

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