# GLEAUX RX IV DRIP BAR & MED SPA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLEAUX RX IV DRIP BAR & MED SPA LLC
- **Other names:** Gleaux Rx Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053126672
- **Legal business name:** GLEAUX RX IV DRIP BAR & MED SPA LLC
- **Authorized official:** CRYSTAL CRAFT (BILLING MANAGER)
- **Authorized official phone:** (601) 431-5375

## Contact information

- **Practice address:** 725 HOSPITAL RD, NEW ROADS, LA 70760-2630
- **Practice address phone:** (225) 713-3662
- **Mailing address:** 725 HOSPITAL RD, NEW ROADS, LA 70760-2630
- **Mailing address phone:** (225) 713-3662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2025
- **Last updated:** 07/23/2026