Integrated Wellness Clinic

LBN: Integrated Wellness Clinic Of Louisiana, Llc
Integrated Wellness Clinic is an health care organization with primary practice located at 10473 Old Hammond Hwy , Baton Rouge LA 70816-8264. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Integrated Wellness Clinic Of Louisiana, Llc can be contacted via phone (252) 924-1910, or through Boling, Shannon L via phone (612) 483-9782.

Contact Information

Primary practice address
10473 Old Hammond Hwy Baton Rouge LA 70816-8264
Phone: (252) 924-1910
Fax: (225) 924-1988
Website:
Map and Directions
Authorized official contact:
Name: Boling, Shannon L
Phone: (612) 483-9782

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1548602097
LBN Legal business name Integrated Wellness Clinic Of Louisiana, Llc
DBA Doing business as Integrated Wellness Clinic
Authorized official Boling, Shannon L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2013
Last updated Apr 30th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548602097 NPPES
Louisiana MEDICAID 2222222

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