Organization
XCEPTIONAL YOU WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENENE MCDONALD COLEMAN NURSE PRACTITIONER (OWNER)
(504) 442-6943
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD STE 4, TERRYTOWN, LA 70056-3950
(504) 334-8889
Mailing address
1799 STUMPF BLVD STE 4, TERRYTOWN, LA 70056-3950
(504) 334-8889
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132708
—
LA
Enumeration date
03/28/2018
Last updated
03/28/2025
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