| Color Gallery, Inc. | |
|
1340 Poydras St Ste 1770 New Orleans LA 70112-5204 | |
| (561) 897-3384 | |
| Not Available |
| Full Name | Color Gallery, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1340 Poydras St Ste 1770, New Orleans, Louisiana |
| Authorized Official Name and Position | Ursula Theresa Rochon (FOUNDER) |
| Authorized Official Contact | 5618973384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Color Gallery, Inc. 1340 Poydras St Ste 1770 New Orleans LA 70112-5204 Ph: (561) 897-3384 | Color Gallery, Inc. 1340 Poydras St Ste 1770 New Orleans LA 70112-5204 Ph: (561) 897-3384 |
| NPI Number | 1780131185 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 9436669504 |
|---|---|
| Medicare Enrollment ID | O20250609000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780131185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1334 (Louisiana) | Primary |
| Provider Name | Flavia Marques Campoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477223139 PECOS PAC ID: 2466850334 Enrollment ID: I20211006002903 |
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