Organization
H.E.R. INTEGRATIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ODOM LEE NURSE PRACTITIONER (OWNER)
(318) 564-7023
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST BLDG 3, SHREVEPORT, LA 71105-2415
(318) 506-4245
(855) 631-0063
Mailing address
2924 KNIGHT ST STE 357, SHREVEPORT, LA 71105-2413
(318) 506-4245
(855) 631-0063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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