Organization
LIVING NOT EXISTING WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FINECIA DRAPER (OWNER)
(318) 359-3899
Entity
Organization
Contact information
Practice address
111 ST JOHN STREET, SIMMESPORT, LA 71369
(318) 359-3899
Mailing address
PO BOX 484, SIMMESPORT, LA 71369-0484
(318) 359-3899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44460226K
SOS
LA
Enumeration date
12/09/2021
Last updated
12/09/2021
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