Organization
FOREVER WELLNESS & RECOVERY LLC
Active
Other names
Forever Wellness & Recovery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HOLLINS (COO)
(318) 230-5794
Entity
Organization
Contact information
Practice address
910 PIERREMONT RD STE 311, SHREVEPORT, LA 71106-2058
(337) 562-6616
Mailing address
910 PIERREMONT RD STE 311, SHREVEPORT, LA 71106-2058
(337) 562-6616
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207RP1001X
Pulmonary Disease Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/12/2019
Last updated
05/01/2023
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