Organization · Type 2 NPI

Exceptional Wellness of Louisiana Incorporated

Mental Health Counselor · Shreveport, LA

NPI number 1124643606 Active

Practice location

331 Milam St
Shreveport, LA 71101-5353

Mailing address

2440 Texas Pkwy Ste 335
Missouri City, TX 77489-4098

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1124643606

Exceptional Wellness of Louisiana Incorporated's National Provider Identifier is 1124643606, issued on Jun 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Aug 6, 2020.