| Changing Lives Wellness Center | |
|
122 Nutmeg Dr Ruston LA 71270-0101 | |
| (318) 458-4798 | |
| Not Available |
| Full Name | Changing Lives Wellness Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 122 Nutmeg Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Whitney N Allen (OFFICE MANAGER) |
| Authorized Official Contact | 3184584798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lives Wellness Center 122 Nutmeg Dr Ruston LA 71270-0101 Ph: (318) 458-4798 | Changing Lives Wellness Center 122 Nutmeg Dr Ruston LA 71270-0101 Ph: (318) 458-4798 |
| NPI Number | 1891465456 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891465456 | NPI | - | NPPES |
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