| Louisiana Mind Body & Health Llc | |
|
5416 Highway 28 E Pineville LA 71360-4756 | |
| (318) 216-1010 | |
| (318) 302-0504 |
| Full Name | Louisiana Mind Body & Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5416 Highway 28 E, Pineville, Louisiana |
| Authorized Official Name and Position | Crystal Thomas (PRESIDENT) |
| Authorized Official Contact | 3182161010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Mind Body & Health Llc 5416 Highway 28 E Pineville LA 71360-4756 Ph: (318) 216-1010 | Louisiana Mind Body & Health Llc 5416 Highway 28 E Pineville LA 71360-4756 Ph: (318) 216-1010 |
| NPI Number | 1700602398 |
|---|---|
| Provider Enumeration Date | 11/27/2024 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Medicare PECOS PAC ID | 5395265763 |
|---|---|
| Medicare Enrollment ID | O20250228001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700602398 | NPI | - | NPPES |
| Provider Name | Lauren King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154761351 PECOS PAC ID: 7911219928 Enrollment ID: I20150706001085 |
| Provider Name | Bhaviniben S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437491727 PECOS PAC ID: 2668616475 Enrollment ID: I20161027002273 |
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