Organization
WONDERFUL WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILDRED SMALL WOMACK LMFT, LPC-S, BC-TMH (MANAGER)
(225) 936-9248
Entity
Organization
Contact information
Practice address
16120 HIGHWAY 10 STE B, GREENSBURG, LA 70441-3657
(225) 936-9248
Mailing address
530 SMALL RD, GREENSBURG, LA 70441-3675
(225) 936-9248
(225) 308-2057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184083
—
LA
Enumeration date
06/22/2022
Last updated
07/15/2022
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