OrganizationActive
Magnificent Minds Telemed
NPI 1275255309 · Child & Adolescent Psychiatry Physician · Gonzales, LA
Provider details
- NPI number
- 1275255309
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Demarcus Patterson, Owner(504) 908-0715
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
630 W Cornerview St Ste B
Gonzales, LA 70737-2742
Phone: (225) 647-4105
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 359
Gonzales, LA 70707-0359
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.