Organization · NPI-2

27th Avenue, LLC

Counselor, Professional · New Orleans, LA

NPI number1184356776
StatusActive
Last updated in NPPESJun 30, 2022

Details

NPI
1184356776
Entity type
Organization (NPI-2)
Legal business name
27th Avenue, LLC
Organization subpart
No
Enumeration date
Jun 30, 2022
Certification date
Jun 30, 2022
Last updated
Jun 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

650 Poydras St
Suite 1400 Pmb0879
New Orleans, LA 70130-6116

Phone 504-321-1751 · Fax 877-479-2005

Mailing address

650 Poydras St
Suite 1400 Pmb0879
New Orleans, LA 70130-6116

Phone 504-321-1751 · Fax 877-479-2005

Authorized official

Mashanna Gallo
Owner
5043211751

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