Organization
MINDFUL WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI P KAY APRN PMHNP-BC (OWNER/PROVIDER)
(337) 532-0157
Entity
Organization
Contact information
Practice address
2704 HODGES ST, LAKE CHARLES, LA 70601-7366
(712) 646-3385
(337) 340-9401
Mailing address
2704 HODGES ST, LAKE CHARLES, LA 70601-7366
(712) 646-3385
(337) 340-9401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432541
—
LA
Enumeration date
08/10/2018
Last updated
05/15/2024
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