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Amanda Michelle Gorrell
Peer Specialist in Bogalusa, Louisiana
NPI 1205517000

Amanda Michelle Gorrell is a Peer Specialist based in Bogalusa, LA. Amanda Michelle Gorrell practices in Bogalusa, LA. The NPI Number for Amanda Michelle Gorrell is 1205517000 and holds a License No. (Louisiana).

The current practice location address for Amanda Michelle Gorrell is 400 Georgia Ave, Bogalusa, LA and can be reached out via phone at 985-732-6610.

Location: 400 Georgia Ave, Bogalusa, LA, 70427-3866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205517000
Provider Name
Amanda Michelle Gorrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Georgia Ave, Bogalusa, LA, 70427-3866
Phone Number
985-732-6610
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Georgia Ave
City
Bogalusa
State
Louisiana
Zip
70427-3866
Phone Number
985-732-6610
Fax Number
person
Provider Business Mailing Address Details
Address
400 Georgia Ave
City
Bogalusa
State
Louisiana
Zip
70427-3866
Phone Number
985-732-6610
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Louisiana)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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