Healthcare Provider Details

I. General information

NPI: 1255258117
Provider Name (Legal Business Name): FIT 4 YOU DANCE & GYM WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3837 PATRICIA LN
HARVEY LA
70058-5605
US

IV. Provider business mailing address

3837 PATRICIA LN
HARVEY LA
70058-5605
US

V. Phone/Fax

Practice location:
  • Phone: 504-508-7046
  • Fax:
Mailing address:
  • Phone: 504-508-7046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. TROY D LOVELY JR.
Title or Position: OWNER/MANAGER
Credential: MSW
Phone: 504-508-7046