Provider Demographics
NPI:1215786371
Name:AARON GLOTH PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:AARON GLOTH PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOTH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:985-635-6943
Mailing Address - Street 1:325 MOUTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2319
Mailing Address - Country:US
Mailing Address - Phone:480-444-8793
Mailing Address - Fax:
Practice Address - Street 1:325 MOUTON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2319
Practice Address - Country:US
Practice Address - Phone:480-444-8793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care