Healthcare Provider Details

I. General information

NPI: 1316870165
Provider Name (Legal Business Name): LOUELLA'S OPEN ARMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 TRAIL BLAZER DR
TALLAHASSEE FL
32310-3651
US

IV. Provider business mailing address

1675 TRAIL BLAZER DR
TALLAHASSEE FL
32310-3651
US

V. Phone/Fax

Practice location:
  • Phone: 850-508-1016
  • Fax:
Mailing address:
  • Phone: 850-508-1016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. AUSHIKA L DAWSON
Title or Position: OWNER
Credential:
Phone: 850-508-1016