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NPI Code Detail

MEDICARE: CONNECTIONS PSYCHOTHERAPY & WELLNESS

MEDICARE: CONNECTIONS PSYCHOTHERAPY & WELLNESS
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1659855674
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTIONS PSYCHOTHERAPY & WELLNESS
Provider Business Mailing Address
First Line : 1 GALLERIA BLVD STE 1900
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7553
Country : US
Telephone Number : 888-580-5995
Fax Number : 888-580-5995
Provider Business Practice Location Address
First Line : 1 GALLERIA BLVD STE 1900
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7553
Country : US
Telephone Number : 888-580-5995
Fax Number : 888-580-5995
Authorized Official
Title or Position : PSYCHOLOGIST
Name : DR. TRACY NICOLE CARLSON
Credential : PHD
Telephone Number : 888-580-5995
Provider Enumeration Date : 09/17/2018
Last Update Date : 09/17/2018

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Directions to “CONNECTIONS PSYCHOTHERAPY & WELLNESS ” Practice Location

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