| Ascension Wellness Center Llc | |
|
2255 S Burnside Ave Gonzales LA 70737-4642 | |
| (225) 644-3315 | |
| (225) 644-4315 |
| Full Name | Ascension Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2255 S Burnside Ave, Gonzales, Louisiana |
| Authorized Official Name and Position | Wendell Bruce Smith (ADMINISTRATOR) |
| Authorized Official Contact | 2256443315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Wellness Center Llc 2255 S Burnside Ave Gonzales LA 70737-4642 Ph: (225) 644-3315 | Ascension Wellness Center Llc 2255 S Burnside Ave Gonzales LA 70737-4642 Ph: (225) 644-3315 |
| NPI Number | 1477661676 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477661676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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