Organization
PRESTIGE HEALTH & WELLNESS, LLC
Active
Other names
PRESTIGE HEALTH & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISANA LOUIS APRN (OWNER)
(813) 967-7075
Entity
Organization
Contact information
Practice address
1418 BLOOMINGDALE AVE, VALRICO, FL 33596-6110
(181) 325-2017
Mailing address
10013 WATER WORKS LN, RIVERVIEW, FL 33578-5304
(813) 967-7075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11016727
FLORIDA APRN LICENSE
FL
Enumeration date
10/17/2021
Last updated
01/24/2024
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