Provider Demographics
NPI:1760061725
Name:N-AWLINS ADMINISTRATIVE SERVICES LLC
Entity Type:Organization
Organization Name:N-AWLINS ADMINISTRATIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:VERRETT
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-952-5525
Mailing Address - Street 1:6047 NEW NATCHITOCHES RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-1219
Mailing Address - Country:US
Mailing Address - Phone:504-952-5524
Mailing Address - Fax:
Practice Address - Street 1:6047 NEW NATCHITOCHES RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-1219
Practice Address - Country:US
Practice Address - Phone:504-952-5524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health