SOUTH LOUISIANA WELLNESS SERVICES LLC (NPI# 1700257615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700257615 |
| Entity Type | Organization |
| Organization Name | SOUTH LOUISIANA WELLNESS SERVICES LLC |
| Practice Address |
4266 W Main St Ste 100 Gray LA 70359-6421 |
| Practice Telephone | 9858567893 |
| Practice Fax Number | 9853466944 |
| Mailing Telephone | 9858567893 |
| Mailing Fax Number | 9853466944 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | PAMELA DUPONT (AGENT) |
| Authorized Official Telephone | 9858567893 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
4266 W MAIN ST STE 100 |
| City | GRAY |
| State | LA |
| Zip Code | 70359-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285662254 | Pamela Dupont | Registered Nurse | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2006-06-29 |
| 1154947489 | Building Bridges Behavioral Health, LLC | Counselor | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2020-06-23 |
| 1902355001 | Amelia Laurent-julien | Counselor | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2016-09-29 |
| 1700243623 | Mia Savoie | Nurse Practitioner | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2016-01-22 |
| 1588037279 | Bill Borskey Lcsw LLC | Social Worker | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2015-11-04 |
| 1194130237 | Southeast Louisiana Social Service Solutions, LLC | Nurse Practitioner | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2014-06-27 |
| 1558609958 | Leslie Kiyanfar | Social Worker | 4266 W Main St Ste 100, Gray, LA 70359-6421 | 2013-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1265985915 | Gavin Triche | Physician Assistant | 128 Neuroscience Court, Gray, LA 70359 | 2016-07-29 |
| 1992939367 | Donna Marie Pugh | Health Maintenance Organization | 216 Champion St, Gray, LA 70359 | 2009-05-13 |
| 1700877297 | Ultrasound Enterprise LLC | Radiology | 165 Frontage Road, Suite B, Gray, LA 70359 | 2005-11-02 |
| 1083610364 | Imaging Center of South Louisiana, LLC | Radiology | 114 Neuroscience Court, Gray, LA 70359 | 2005-06-22 |
| 1285630129 | Southeast Neuroscience Center, LLC | Specialist | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1750387676 | Donald Severinus Gervais Jr. | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1114445194 | Teri Lynn Chatagnier | Counselor | 307 Lola St, Gray, LA 70359-3017 | 2017-08-30 |
| 1275039695 | Lashekia J Toussaint | Nurse Practitioner | 137 Marietta Pl, Gray, LA 70359-3119 | 2018-04-04 |
| 1063629772 | Tri-parish Orthopedic & Neurosurgical Institute,llc | Specialist | 115 Eureka Dr, Gray, LA 70359-3247 | 2007-05-16 |
| Find all providers in zip 70359 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.