Healthcare Provider Details

I. General information

NPI: 1184542425
Provider Name (Legal Business Name): FOCUS MASSAGE AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 N NEW HAMPSHIRE ST
COVINGTON LA
70433-2829
US

IV. Provider business mailing address

1901 HIGHWAY 190 APT 1123
MANDEVILLE LA
70448-3484
US

V. Phone/Fax

Practice location:
  • Phone: 504-388-1915
  • Fax:
Mailing address:
  • Phone: 504-388-1915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CANDY COLLEY WELCH
Title or Position: OWNER
Credential: LMT BCTMB
Phone: 505-388-1915