Clearwater Wellness Llc | |
8719 Battle Rd Ethel LA 70730-4007 | |
(225) 205-9473 | |
Not Available |
Full Name | Clearwater Wellness Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8719 Battle Rd, Ethel, Louisiana |
Authorized Official Name and Position | Alisa Johnson Willoughby (CEO) |
Authorized Official Contact | 2252059473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clearwater Wellness Llc 8719 Battle Rd Ethel LA 70730-4007 Ph: (225) 205-9473 | Clearwater Wellness Llc 8719 Battle Rd Ethel LA 70730-4007 Ph: (225) 205-9473 |
NPI Number | 1962256578 |
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Provider Enumeration Date | 04/11/2024 |
Last Update Date | 04/11/2024 |
Certification Date | 04/11/2024 |
Identifier | Type | State | Issuer |
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1962256578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |