Organization
VITAL BRANCH WELLNESS SOLUTIONS LLC
Active
Organization
VITAL BRANCH WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA STEWART APRN-CNP (MANAGER)
(318) 773-8241
Entity
Organization
Contact information
Practice address
8156 MYRTLEWOOD RD, GREENWOOD, LA 71033-3024
(318) 773-8241
Mailing address
2829 YOUREE DR STE 1, SHREVEPORT, LA 71104-3640
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LS0200X
School Nurse Practitioner
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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