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Organization
BIRTH WELL SHREVEPORT NONPROFIT CORPORATION
Active
Organization
BIRTH WELL SHREVEPORT NONPROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA MINGO (FOUNDER/DIRECTOR)
(318) 219-6640
Entity
Organization
Contact information
Practice address
915 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 754-6656
Mailing address
915 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 754-6656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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