Provider Demographics
NPI:1780131185
Name:COLOR GALLERY, INC.
Entity type:Organization
Organization Name:COLOR GALLERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:ROCHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-897-3384
Mailing Address - Street 1:1340 POYDRAS ST STE 1770
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-5204
Mailing Address - Country:US
Mailing Address - Phone:561-897-3384
Mailing Address - Fax:
Practice Address - Street 1:1340 POYDRAS ST STE 1770
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-5204
Practice Address - Country:US
Practice Address - Phone:561-897-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1334103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty