MMO OF GONZALES LLC NPI 1093883522

NPI Information

  • NPI: 1093883522
  • Provider Name: MMO OF GONZALES, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Former Legal Business Name: ON TRACK COMMUNITY HEALTH CENTER LLC DBASILVER OPTIONS CENTER ON-TRACK
  • Address: 305 SOUTH BURNSIDE AVE.
    SUITE D
    GONZALES, LA
    ZIP 70737
  • Phone: (225) 621-2760

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NPI Details

MMO OF GONZALES, LLC is a mental health (including community mental health center) clinic center in Gonzales, LA. MMO OF GONZALES, LLC NPI is 1093883522. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is On Track Community Health Center Llc Dbasilver Options Center On-track.

The provider's business location address is:

305 SOUTH BURNSIDE AVE.
SUITE D
GONZALES, LA
ZIP 70737
Phone: (225) 621-2760
Fax: (225) 621-2768

The provider's authorized official is Robert L. Miller .
The authorized official title is Ceo and has the following contact phone number (225) 293-6774.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/2/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)531032LOUISIANAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119-4614MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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