Exceptional Wellness of Louisiana Incorporated
NPI #1124643606 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1124643606
- Entity Type
- Organization
- Organization Name
- Exceptional Wellness of Louisiana Incorporated
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 10, 2020
- Last Updated
- Aug 6, 2020
Practice Location
- Address
- 331 MILAM ST
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-5353
- Phone
- (318) 383-1607
Authorized Official
- Name
- LATONIA KENT
- Title
- ADMINISTRATOR
- Phone
- (318) 383-1607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
| Counselor - Mental Health — Mental Health |
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