DEEPBLUE WELLNESS LLC NPI 1518460211

NPI Information

DEEPBLUE WELLNESS LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Metairie, LA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. DEEPBLUE WELLNESS LLC NPI is 1518460211. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4421 CONLIN ST STE 101
METAIRIE, LA
ZIP 70006-145
Phone: (337) 643-8424
Fax: (337) 643-8407

The provider's authorized official is Nicolas Vergara .
The authorized official title is Owner and has the following contact phone number (504) 275-4489.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.