| Ericdmatthewsllc | |
|
12a Westbank Expy 204 Gretna LA 70053-3659 | |
| (504) 319-3103 | |
| (504) 324-0464 |
| Full Name | Ericdmatthewsllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12a Westbank Expy, Gretna, Louisiana |
| Authorized Official Name and Position | Eric D Matthews (OWNER) |
| Authorized Official Contact | 5043193103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ericdmatthewsllc Po Box 6744 New Orleans LA 70174-6744 Ph: (504) 309-7844 | Ericdmatthewsllc 12a Westbank Expy 204 Gretna LA 70053-3659 Ph: (504) 319-3103 |
| NPI Number | 1215313507 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215313507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5212 (Louisiana) | Primary |
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