Guidry, Mystic Marie

Guidry, Mystic Marie is an individual health care provider with primary practice located at 5535 Saint Anthony Ave Apt A , New Orleans LA 70122-4121. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Guidry, Mystic Marie can be contacted via phone (504) 432-7575.

Contact Information

Primary practice address
5535 Saint Anthony Ave Apt A New Orleans LA 70122-4121
Phone: (504) 432-7575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1356706980
LBN Legal business name Guidry, Mystic Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2015
Last updated Jun 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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