Preventive Outcomes and Wellness LLC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

PREVENTIVE OUTCOMES AND WELLNESS LLC

Doing business as

Preventive Outcomes and Wellness LLC

Practice address

7700 Hayne Blvd
New Orleans, LA 70126-1933

Phone

(504) 309-9991

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Jelinda Gibson

Title

Ceo

Phone

(504) 309-9991

Specialties & licenses 1

Addresses

Other names 1

• PREVENTIVE OUTCOMES AND WELLNESS LLC Doing business as

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1700436540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HAYNE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261933",
            "telephone_number": "504-309-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HAYNE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261933",
            "telephone_number": "504-309-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE OUTCOMES AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-309-9991"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREVENTIVE OUTCOMES AND WELLNESS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Addiction (Substance Use Disorder) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.