Organization
COMMUNITY WELLNESS HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALETHIA BUSH (OFFICE ADMINISTRATOR)
(318) 331-2150
Entity
Organization
Contact information
Practice address
1511 ORANGE ST, MONROE, LA 71202-2325
(318) 582-0354
(214) 889-8499
Mailing address
1511 ORANGE ST, MONROE, LA 71202-2325
(318) 582-0354
(214) 889-8499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WG0000X
General Practice Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
172V00000X
Community Health Worker
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/24/2025
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