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Organization
ESSENTIAL MENTAL HEALTH AND WELLNESS, LLC
Active
Organization
ESSENTIAL MENTAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAWANA S LOCKWOOD (OWNER)
(601) 278-9688
Entity
Organization
Contact information
Practice address
711 E ASCENSION ST PMB234, GONZALES, LA 70737
(601) 278-9688
Mailing address
12323 LEGACY HILLS DR, GEISMAR, LA 70734-3164
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
09/17/2024
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