Integrated Wellness Clinic of Louisiana, LLC

NPI #1548602097 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1548602097
Entity Type: Organization
Organization Name: Integrated Wellness Clinic of Louisiana, LLC
Primary Specialty: Counselor
Enumeration Date: Jul 25, 2013
Last Updated: Apr 30, 2018

Practice Location

Address: 10473 OLD HAMMOND HWY
City: Baton Rouge
State: Louisiana
ZIP Code: 70816-8264
Phone: (252) 924-1910

Authorized Official

Name: SHANNON L BOLING
Title: OPERATIONS OFFICE
Phone: (612) 483-9782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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