Provider Demographics
NPI:1942743406
Name:GOURRIER, KEARRA (BA)
Entity Type:Individual
Prefix:
First Name:KEARRA
Middle Name:
Last Name:GOURRIER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 READ BLVD
Mailing Address - Street 2:SUITE 740
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3140
Mailing Address - Country:US
Mailing Address - Phone:504-245-2440
Mailing Address - Fax:504-245-4284
Practice Address - Street 1:4800 SANDALWOOD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3553
Practice Address - Country:US
Practice Address - Phone:504-617-3696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator