Organization · Type 2 NPI
Vital Branch Wellness Solutions LLC
Multi-Specialty Clinic/Center · Greenwood, LA
NPI number
1831916451
Active
Practice location
8156 Myrtlewood Rd
Greenwood, LA 71033-3024
Mailing address
2829 Youree Dr Ste 1
Shreveport, LA 71104-3640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| School Nurse Practitioner | 363LS0200X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1831916451
Vital Branch Wellness Solutions LLC's National Provider Identifier is 1831916451, issued on Sep 24, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Greenwood, LA. The record was last updated on Sep 24, 2024.