Magnificent Minds Telemed

LBN: Magnificent Minds Telemed
Magnificent Minds Telemed is an health care organization with primary practice located at 630 W Cornerview St Ste B , Gonzales LA 70737-2742. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Magnificent Minds Telemed can be contacted via phone (225) 647-4105, or through Patterson, Demarcus via phone (504) 908-0715.

Contact Information

Primary practice address
630 W Cornerview St Ste B Gonzales LA 70737-2742
Phone: (225) 647-4105
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Demarcus
Phone: (504) 908-0715

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1275255309
LBN Legal business name Magnificent Minds Telemed
DBA Doing business as
Authorized official Patterson, Demarcus
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2022
Last updated Sep 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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