MAGNIFICENT MINDS TELEMED

GONZALES, LA
NPI1275255309
Entity TypeOrganization
Authorized ContactDEMARCUS PATTERSON
Owner
504-908-0715
Organization Subpart ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2022-09-15
Last Update Date2022-09-15
Business Address
MAGNIFICENT MINDS TELEMED
630 W CORNERVIEW ST STE B
GONZALES, LA 70737-2742
Phone number: 225-647-4105
Mailing Address
MAGNIFICENT MINDS TELEMED
PO BOX 359
GONZALES, LA 70707-0359
Phone number: 504-915-0705