27th Avenue, LLC

NPI #1184356776 in New Orleans, Louisiana

Provider Information

NPI Number: 1184356776
Entity Type: Organization
Organization Name: 27th Avenue, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 30, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 650 POYDRAS ST
Address 2: SUITE 1400 PMB0879
City: New Orleans
State: Louisiana
ZIP Code: 70130-6116
Phone: (504) 321-1751

Authorized Official

Name: MASHANNA GALLO, LPC
Title: OWNER
Phone: (504) 321-1751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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