Provider Information for 1801350707
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WINC PROFESSIONAL CONSULTANTS, LLC
Organization Subpart: NO
NPI: 1801350707
Last Updated: 2019-01-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801350707 | ||||||||
| Enumeration Date | 2019-01-24 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: GAIL WINSEY LMFT Title: LMFT/ Owner Phone: 5049573720 | ||||||||
| Mailing Address | PO BOX 6744 NEW ORLEANS, LA 70174-6744 United States Phone: 504-309-7844 | Fax: | ||||||||
| Primary Practice Address | 3828 VETERANS MEMORIAL BLVD STE 205 METAIRIE, LA 70002-5600 United States Phone: 504-957-3720 | Fax: | ||||||||
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