| Awakening Dormant Minds Llc | |
|
900 N Villere St New Orleans LA 70116-2953 | |
| (504) 520-0125 | |
| (713) 490-2683 |
| Full Name | Awakening Dormant Minds Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 900 N Villere St, New Orleans, Louisiana |
| Authorized Official Name and Position | Toby Chalone Branden (OWNER) |
| Authorized Official Contact | 5045200125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Dormant Minds Llc 1721 Saint Philip St New Orleans LA 70116-2116 Ph: (504) 520-0125 | Awakening Dormant Minds Llc 900 N Villere St New Orleans LA 70116-2953 Ph: (504) 520-0125 |
| NPI Number | 1396999199 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 04/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396999199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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