Organization
MIND BODY SOUL WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETATIA R VANCE (DIRECTOR)
(318) 658-7428
Entity
Organization
Contact information
Practice address
3818 JOSEPH RANDALL DR, SHREVEPORT, LA 71107-3149
(318) 658-7428
(318) 370-3674
Mailing address
3818 JOSEPH RANDALL DR, SHREVEPORT, LA 71107-3149
(318) 658-7428
(318) 370-3674
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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