| Mindwell Therapy LLC | |
|
28552 Shady Day Dr Ponchatoula LA 70454-2851 | |
| (833) 221-4169 | |
| Not Available |
| Full Name | Mindwell Therapy LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 28552 Shady Day Dr, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Jennifer Loraso (PRESIDENT) |
| Authorized Official Contact | 8332214169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindwell Therapy LLC 28552 Shady Day Dr Ponchatoula LA 70454-2851 | Mindwell Therapy LLC 28552 Shady Day Dr Ponchatoula LA 70454-2851 Ph: (833) 221-4169 |
| NPI Number | 1992666184 |
|---|---|
| Provider Enumeration Date | 11/19/2025 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992666184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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