Healthcare Provider Details

I. General information

NPI: 1780300236
Provider Name (Legal Business Name): 2WELL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 HIGHWAY 80 E LOT 162
MONROE LA
71203-9475
US

IV. Provider business mailing address

2216 HIGHWAY 80 E LOT 162
MONROE LA
71203-9475
US

V. Phone/Fax

Practice location:
  • Phone: 318-307-5729
  • Fax:
Mailing address:
  • Phone: 318-307-5729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO O BURNS
Title or Position: OWNER/MANAGER
Credential:
Phone: 318-307-5729