| Mindful Wellness Inc. | |
|
2704 Hodges St Lake Charles LA 70601-7366 | |
| (712) 646-3385 | |
| (337) 340-9401 |
| Full Name | Mindful Wellness Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2704 Hodges St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Lori P Kay (OWNER/PROVIDER) |
| Authorized Official Contact | 3375320157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Wellness Inc. 2704 Hodges St Lake Charles LA 70601-7366 Ph: (712) 646-3385 | Mindful Wellness Inc. 2704 Hodges St Lake Charles LA 70601-7366 Ph: (712) 646-3385 |
| NPI Number | 1275012239 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 0840645396 |
|---|---|
| Medicare Enrollment ID | O20231018002333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275012239 | NPI | - | NPPES |
| 2432541 | Medicaid | LA |
| Provider Name | Lori Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447703251 PECOS PAC ID: 8527356989 Enrollment ID: I20190905000580 |
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