Organization
HEADACHE AND WELLNESS CENTER OF SOUTHWEST LOUISIANA, LLC
Active
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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