| Wes LLC | |
|
1351 Coffee St Mandeville LA 70448-3619 | |
| (504) 812-9699 | |
| Not Available |
| Full Name | Wes LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1351 Coffee St, Mandeville, Louisiana |
| Authorized Official Name and Position | William Enrique Sandino (OWNER) |
| Authorized Official Contact | 5048129699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wes LLC 1351 Coffee St Mandeville LA 70448-3619 Ph: (504) 812-9699 | Wes LLC 1351 Coffee St Mandeville LA 70448-3619 Ph: (504) 812-9699 |
| NPI Number | 1184290603 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184290603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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