| The Well Clinic, Llc | |
|
17534 Old Jefferson Hwy Suite B2 Prairieville LA 70769-3978 | |
| (225) 692-4113 | |
| Not Available |
| Full Name | The Well Clinic, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 17534 Old Jefferson Hwy, Prairieville, Louisiana |
| Authorized Official Name and Position | Charles Andrew Yarborough (PSYCHOLOGIST) |
| Authorized Official Contact | 2259531903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Clinic, Llc 17534 Old Jefferson Hwy Suite B2 Prairieville LA 70769-3978 Ph: (225) 692-4113 | The Well Clinic, Llc 17534 Old Jefferson Hwy Suite B2 Prairieville LA 70769-3978 Ph: (225) 692-4113 |
| NPI Number | 1023409224 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023409224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1161 (Louisiana) | Primary |
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