# COUVILLION WELLNESS, LLC

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

## Provider details

- **NPI number:** 1558679589
- **Authorized official:** GINGER COUVILLION (MANAGING PARTNER)
- **Authorized official phone:** (318) 787-5952

## Contact information

- **Practice address:** 3004 JACKSON ST, SUITE A, ALEXANDRIA, LA 71301-4745
- **Practice address phone:** (318) 787-5952
- **Practice address fax:** (318) 787-5962
- **Mailing address:** 3004 JACKSON ST, SUITE A, ALEXANDRIA, LA 71301-4745
- **Mailing address phone:** (318) 787-5952
- **Mailing address fax:** (318) 787-5962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 5969 | LA | — |
| 225100000X | Physical Therapist | 04977 | LA | Yes |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 09/24/2010