Organization
TOTAL WELLNESS URGENT PSYCHIATRIC CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD LANIER (OFFICE MANAGER)
(817) 602-4389
Entity
Organization
Contact information
Practice address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 598-5040
(318) 515-0011
Mailing address
410 S FRANKLIN ST, BASTROP, LA 71220-4533
(318) 598-5040
(318) 515-0011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
12/30/2024
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