Healthcare Provider Details

I. General information

NPI: 1053271163
Provider Name (Legal Business Name): DISCOVERY HEALTHCARE & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 SAINT LANDRY ST STE 3A
LAFAYETTE LA
70506-3549
US

IV. Provider business mailing address

600 N MONTAUBAN DR STE 2D
LAFAYETTE LA
70507-3256
US

V. Phone/Fax

Practice location:
  • Phone: 318-469-6245
  • Fax:
Mailing address:
  • Phone: 318-469-6245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAVONDALI HARRIS CAWTHORNE
Title or Position: OWNER
Credential: DNP, APRN, FNP-C
Phone: 318-469-6245