| Total Wellness Urgent Psychiatric Care Clinic | |
|
343 N Washington St Bastrop LA 71220-3849 | |
| (318) 598-5040 | |
| Not Available |
| Full Name | Total Wellness Urgent Psychiatric Care Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 343 N Washington St, Bastrop, Louisiana |
| Authorized Official Name and Position | Edward Lanier (OFFICE MANAGER) |
| Authorized Official Contact | 8176024389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wellness Urgent Psychiatric Care Clinic 343 N Washington St Bastrop LA 71220-3849 Ph: (318) 598-5040 | Total Wellness Urgent Psychiatric Care Clinic 343 N Washington St Bastrop LA 71220-3849 Ph: (318) 598-5040 |
| NPI Number | 1902579675 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Medicare PECOS PAC ID | 8729471099 |
|---|---|
| Medicare Enrollment ID | O20220209000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902579675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tiana S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770879074 PECOS PAC ID: 9032376579 Enrollment ID: I20120210000389 |
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