Organization
HEADACHE AND WELLNESS CENTER OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCI L PORTIE NP (OWNER)
(337) 508-2333
Entity
Organization
Contact information
Practice address
803 W BAYOU PINES DR STE B, LAKE CHARLES, LA 70601-7096
(337) 508-2333
Mailing address
803 W BAYOU PINES DR STE B, LAKE CHARLES, LA 70601-7096
(337) 508-2333
(337) 549-6316
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/25/2020
Last updated
09/01/2021
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