Organization

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)

Code

3336M0002X
333600000X

Primary Taxonomy

No
No

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

Provider Address