# SACRED HEALTH INSTITUTE- NEW ORLEANS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SACRED HEALTH INSTITUTE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003786526
- **Legal business name:** SACRED HEALTH INSTITUTE LLC
- **Authorized official:** DR. BRUCE LEONARD WILSON MD, MSPH (FOUNDER/CEO)
- **Authorized official phone:** (504) 603-6190

## Contact information

- **Practice address:** 10200 CHEF MENTEUR HWY, NEW ORLEANS, LA 70127-4263
- **Practice address phone:** (504) 603-6190
- **Mailing address:** 4969 EASTERN ST, NEW ORLEANS, LA 70122-6208
- **Mailing address phone:** (504) 603-6190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 175L00000X | Homeopath | — | NULL | — |
| 175L00000X | Homeopath | — | — | — |
| 202D00000X | Integrative Medicine Physician | — | NULL | — |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 11/10/2025
- **Last updated:** 11/10/2025
