Individual ProviderNina Marie GougishaCase Manager/Care CoordinatorOther Service ProvidersPractice Address2331 Canal St, New Orleans, LA 70119(504) 304-3737(504) 215-5495PECOS EnrollmentBased on the most recent information from CMS, provider Nina Marie Gougisha does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1609318468Provider TypeIndividualFull NameGougisha, Nina MarieTitleMissGenderFemaleSole ProprietorYesEnumeration Date11/10/2016Last Updated6/1/2018Contact InformationPractice LocationPractice Address2331 Canal St, New Orleans, LA 70119Phone(504) 304-3737FaxUnlisted FaxMailing LocationMailing Address7321 Rue Louis Phillipe, Marrero, LA 70072-4539Phone(504) 215-5495FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer