Organization
LOUISIANA COMMUNITY HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK EBANKS (CO-OWNER)
(225) 638-8878
Entity
Organization
Contact information
Practice address
805 PARENT ST, NEW ROADS, LA 70760-2215
(225) 638-8878
(225) 638-8879
Mailing address
805 PARENT ST, NEW ROADS, LA 70760-2215
(225) 638-8878
(225) 638-8879
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
LA
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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