Healthcare Provider Details

I. General information

NPI: 1891613972
Provider Name (Legal Business Name): SKYE WHEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SKYE HILL CIT

II. Dates (important events)

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

III. Provider practice location address

2321 HIGHWAY 80 E
MONROE LA
71203-9366
US

IV. Provider business mailing address

120 PINE HILLS DR APT 39
CALHOUN LA
71225-9559
US

V. Phone/Fax

Practice location:
  • Phone: 318-600-3333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCIT-6156
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: