Headache and Wellness Center of Southwest Louisiana, LLC
NPI #1043814486 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1043814486
- Entity Type
- Organization
- Organization Name
- Headache and Wellness Center of Southwest Louisiana, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 25, 2020
- Last Updated
- Sep 1, 2021
Practice Location
- Address
- 803 W BAYOU PINES DR STE B
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-7096
- Phone
- (337) 508-2333
Authorized Official
- Name
- MRS. DARCI L PORTIE, NP
- Title
- OWNER
- Phone
- (337) 508-2333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Clinic/Center |
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