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Organization
COMPREHENSIVE WELLNESS AND MENTAL HEALTH LLC
Active
Organization
COMPREHENSIVE WELLNESS AND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIAMS GARDINER DNP APRN FNP PMHNP (CEO)
(985) 381-3494
Entity
Organization
Contact information
Practice address
2043 COTEAU RD STE 104, HOUMA, LA 70364-2165
(985) 323-6420
(985) 202-4028
Mailing address
2043 COTEAU RD STE 104, HOUMA, LA 70364-2165
(985) 323-6420
(985) 202-4028
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205076403
NPI
LA
05
—
1422541
—
LA
Enumeration date
02/13/2023
Last updated
08/09/2024
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