Organization · NPI-2
Acadiana Hope And Wellness Center, LLC
Community/Behavioral Health · Crowley, LA
NPI number1194182774
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1194182774
- Entity type
- Organization (NPI-2)
- Legal business name
- Acadiana Hope And Wellness Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2016
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 2203782856 | LA | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
19157 Crowley Eunice HwyCrowley, LA 70526-0801
Phone 337-514-2101 · Fax 337-514-2105
Mailing address
19157 Crowley Eunice HwyCrowley, LA 70526-0801
Phone 337-514-2101
Authorized official
Valencia Demuchest
Owner/Administrator
3375142101
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