| Exceptional Wellness Of Louisiana Incorporated | |
|
331 Milam St Shreveport LA 71101-5353 | |
| (318) 383-1607 | |
| Not Available |
| Full Name | Exceptional Wellness Of Louisiana Incorporated |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 331 Milam St, Shreveport, Louisiana |
| Authorized Official Name and Position | Latonia Kent (ADMINISTRATOR) |
| Authorized Official Contact | 3183831607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Wellness Of Louisiana Incorporated 2440 Texas Pkwy Ste 335 Missouri City TX 77489-4098 Ph: () - | Exceptional Wellness Of Louisiana Incorporated 331 Milam St Shreveport LA 71101-5353 Ph: (318) 383-1607 |
| NPI Number | 1124643606 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 08/06/2020 |
| Certification Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124643606 | NPI | - | NPPES |
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