# EQUANIMITY MENTAL HEALTH & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316658438
- **Authorized official:** LARRY DAVID ALLAN NP (OWNER)
- **Authorized official phone:** (318) 313-2944

## Contact information

- **Practice address:** 2000 CRESWELL AVE, SHREVEPORT, LA 71104-2202
- **Practice address phone:** (318) 313-2944
- **Mailing address:** 1136 ISLAND PARK BLVD, SHREVEPORT, LA 71105-4737
- **Mailing address phone:** (318) 313-2944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2022
- **Last updated:** 12/13/2022