NPI 1679936371
Grace de Souza
Practice location
- Address
- 70380 Highway 21 STE 2266, Covington, LA 70433-8128
- Phone
- (985) 260-2266
- Mailing address
- 70380 Highway 21 STE 2-266, Covington, LA 70433-8128
Registered specialties (2)
Marriage & Family Therapist
Primary
Marriage & Family Therapist
Registry record
- NPI
- 1679936371
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2016
- Record last updated
- 3 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.