| Living Not Existing Wellness Center Llc | |
|
111 St John Street Simmesport LA 71369 | |
| (318) 359-3899 | |
| Not Available |
| Full Name | Living Not Existing Wellness Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 St John Street, Simmesport, Louisiana |
| Authorized Official Name and Position | Finecia Draper (OWNER) |
| Authorized Official Contact | 3183593899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Not Existing Wellness Center Llc Po Box 484 Simmesport LA 71369-0484 Ph: (318) 359-3899 | Living Not Existing Wellness Center Llc 111 St John Street Simmesport LA 71369 Ph: (318) 359-3899 |
| NPI Number | 1326707167 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326707167 | NPI | - | NPPES |
| 44460226K | Other | LA | SOS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |