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Organization
MINDFUL CONCEPTS AND MENTAL WELLNESS
Active
Organization
MINDFUL CONCEPTS AND MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA DAVIDSON PMHNP (OWNER)
(971) 328-3493
Entity
Organization
Contact information
Practice address
201 RUE BEAUREGARD STE 202, LAFAYETTE, LA 70508-3251
(971) 328-3493
Mailing address
1302 COMPROMISE ST, KENNER, LA 70062-6538
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
10/11/2024
Last updated
10/11/2024
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