| Maison Vie, Llc | |
|
1799 Stumpf Blvd 3-2 Terrytown LA 70056-3950 | |
| (504) 452-5937 | |
| (504) 394-5012 |
| Full Name | Maison Vie, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1799 Stumpf Blvd, Terrytown, Louisiana |
| Authorized Official Name and Position | Susan Gayle Harrington (FAMILY THERAPIST) |
| Authorized Official Contact | 5044525937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maison Vie, Llc 1799 Stumpf Blvd 3-2 Terrytown LA 70056-3950 Ph: (504) 452-5937 | Maison Vie, Llc 1799 Stumpf Blvd 3-2 Terrytown LA 70056-3950 Ph: (504) 452-5937 |
| NPI Number | 1255760088 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255760088 | NPI | - | NPPES |
| 1447363437 | Other | LA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2328 (Louisiana) | Primary |
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