# LIVING WELLNESS LLC

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

## Provider details

- **NPI number:** 1487919353
- **Authorized official:** MS. KELLY ANN ROBINSON APRN (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (504) 756-8036

## Contact information

- **Practice address:** 70372 5TH ST, COVINGTON, LA 70433-5423
- **Practice address phone:** (504) 756-8036
- **Practice address fax:** (337) 643-8407
- **Mailing address:** 70372 5TH ST, COVINGTON, LA 70433-5423
- **Mailing address phone:** (504) 756-8036
- **Mailing address fax:** (337) 643-8407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP06829 | LA | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 07/06/2012