Organization
MAGNOLIA WELLNESS
Active
Organization
MAGNOLIA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LANDRY LCSW (OWNER)
(225) 718-9525
Entity
Organization
Contact information
Practice address
5689 COMMERCE STREET, ST. FRANCISIVILLE, LA 70775
(225) 718-9525
Mailing address
404 GISELE ST, NEW ROADS, LA 70760-2727
(225) 718-9525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11067
LA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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