Organization
TOTAL WELLNESS ADVOCATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDRA N SMITH (OWNER)
(708) 710-9969
Entity
Organization
Contact information
Practice address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(708) 710-9969
Mailing address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(708) 710-9969
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
LC42325974K
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
12/21/2023
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