The Wellness Corner, Llc
May also be knows as The Wellness Corner
Legal Business Name
The Wellness Corner, Llc
Also Known As
The Wellness Corner
NPI Number
1700245289
NPI Type
Organization
Enumeration Date
02/12/2016
Specialties
(Taxonomies)Licenses
State
Georgia
Indiana
Iowa
Louisiana
North Carolina
Ohio
Texas
Virginia
Washington
License Number
PHNR000397
64002439A
4881
PHY.006397-IR
12670
NRP.022798750-03
29094
214002006
PHNR.FO.60798674
Contact
Information
Purpose
Mailing
Location
Address
17733 OLD JEFFERSON HWY
17733 OLD JEFFERSON HWY
City
Prairieville
Prairieville
State
LA
LA
Postal Code
70769-3934
70769-3934
Country
US
US
Telephone Number
(225) 677-8200
(225) 677-8200
Authorized Official
Name
Max Huff
Title or Position
COO
Telephone Number
(225) 677-0120
Identifiers
Identifier
2158047
Identifier State
Unknown
Identifier Issuer
PK
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/19/2018