27TH Avenue, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

27TH AVENUE, LLC

Practice address

650 Poydras St
Suite 1400 Pmb0879
New Orleans, LA 70130-6116

Phone

(504) 321-1751

Fax

(877) 479-2005

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mashanna Gallo, LPCNPI 1558825968

Title

Owner

Phone

(504) 321-1751

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mashanna Gallo, LPC

  • Professional Counselor
  • New Orleans, LA
  • NPI 1558825968
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1184356776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 POYDRAS ST",
            "address_2": "SUITE 1400 PMB0879",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701306116",
            "telephone_number": "504-321-1751",
            "fax_number": "877-479-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 POYDRAS ST",
            "address_2": "SUITE 1400 PMB0879",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701306116",
            "telephone_number": "504-321-1751",
            "fax_number": "877-479-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "27TH AVENUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "MASHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-321-1751",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.