Deepblue Wellness LLC

NPI #1518460211 in Metairie, Louisiana

Provider Information

NPI Number: 1518460211
Entity Type: Organization
Organization Name: Deepblue Wellness LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NICOLAS VERGARA MD
Primary Specialty: Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry
Enumeration Date: Mar 9, 2018
Last Updated: Mar 9, 2018

Practice Location

Address: 4421 CONLIN ST STE 101
City: Metairie
State: Louisiana
ZIP Code: 70006-2145
Phone: (337) 643-8424

Authorized Official

Name: NICOLAS VERGARA, MD
Title: OWNER
Phone: (504) 275-4489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry — Behavioral Neurology & Neuropsychiatry	2084B0040X	Primary

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