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Contact Information

GULF SOUTH ADDICTION & WELLNESS
1539 JACKSON AVE
SUITE 220
NEW ORLEANS, LA70130-5858
 Phone: 985-781-0548
 Fax: 985-781-4319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for GULF SOUTH ADDICTION & WELLNESS

NPI # 1235523085
LBN Legal business name GULF SOUTH ADDICTION & WELLNESS
Authorized official HARMINDER MALLIK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2015
Last updated 11/16/2023 - About 3 years ago
Identifiers
LA License # 2203782288
LA Other 2203782288 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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