Healthcare Provider Details

I. General information

NPI: 1972962694
Provider Name (Legal Business Name): RELIEF PLUS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 ARABIAN DR
LAFAYETTE LA
70507-2559
US

IV. Provider business mailing address

112 ARABIAN DR
LAFAYETTE LA
70507-2559
US

V. Phone/Fax

Practice location:
  • Phone: 337-565-4200
  • Fax: 337-565-4200
Mailing address:
  • Phone: 337-565-4200
  • Fax: 337-565-4201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1479
License Number StateLA

VIII. Authorized Official

Name: DR. SHAWN JOHNSTON
Title or Position: OWNER
Credential: DC
Phone: 337-565-4200