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Organization
TOTAL WELLNESS URGENT PSYCHIATRIC CARE CLINIC
Active
Organization
TOTAL WELLNESS URGENT PSYCHIATRIC CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD LANIER (OFFICE MANAGER)
(817) 602-4389
Entity
Organization
Contact information
Practice address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 598-5040
(318) 515-0011
Mailing address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 598-5040
(318) 515-0011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
12/30/2024
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