Organization
COMPREHENSIVE WELLNESS AND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIAMS GARDINER DNP APRN FNP PMHNP (CEO)
(985) 381-3494
Entity
Organization
Contact information
Practice address
2043 COTEAU RD STE 104, HOUMA, LA 70364-2165
(985) 323-6420
(985) 202-4028
Mailing address
2043 COTEAU RD STE 104, HOUMA, LA 70364-2165
(985) 323-6420
(985) 202-4028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205076403
NPI
LA
05
—
1422541
—
LA
Enumeration date
02/13/2023
Last updated
08/09/2024
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