| Positive Headspace Llc | |
|
120 Lake Lynn Dr Harvey LA 70058-5273 | |
| (504) 782-4347 | |
| (504) 267-2491 |
| Full Name | Positive Headspace Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 120 Lake Lynn Dr, Harvey, Louisiana |
| Authorized Official Name and Position | Stacy Michelle Lewis-goins (MEMBER/OWNER) |
| Authorized Official Contact | 5048132298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Headspace Llc 1801 Manhattan Blvd Ste J Harvey LA 70058-7301 Ph: (504) 813-2298 | Positive Headspace Llc 120 Lake Lynn Dr Harvey LA 70058-5273 Ph: (504) 782-4347 |
| NPI Number | 1235968058 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235968058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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