| Reef Wellness | |
|
3616 Youree Dr Shreveport LA 71105-2122 | |
| (318) 779-0104 | |
| (318) 421-3193 |
| Full Name | Reef Wellness |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3616 Youree Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Trena L Edwards (THERAPIST) |
| Authorized Official Contact | 3189359585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reef Wellness 10010 Willowwick Ct Shreveport LA 71118-4521 Ph: (318) 935-9585 | Reef Wellness 3616 Youree Dr Shreveport LA 71105-2122 Ph: (318) 779-0104 |
| NPI Number | 1417574237 |
|---|---|
| Provider Enumeration Date | 06/27/2020 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417574237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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