Healthcare Provider Details

I. General information

NPI: 1326951864
Provider Name (Legal Business Name): CENLA WELLNESS 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 HIGHWAY 28 E
PINEVILLE LA
71360-4738
US

IV. Provider business mailing address

5101 HIGHWAY 28 E
PINEVILLE LA
71360-4738
US

V. Phone/Fax

Practice location:
  • Phone: 318-542-4441
  • Fax: 318-542-4431
Mailing address:
  • Phone: 318-542-4441
  • Fax: 318-542-4431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DAWN BRUMFIELD
Title or Position: PROGRAM MANAGER
Credential:
Phone: 318-542-4441