NPI Code Details Logo

NPI 1154259000

NPI 1154259000 : SYNTROPY WELLNESS, LLC. : PRAIRIEVILLE, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154259000
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SYNTROPY WELLNESS, LLC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/11/2026
-----------------------------------------------------
    Last Update Date     |    05/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16471 ALEXIS AVE 
-----------------------------------------------------
    City                 |    PRAIRIEVILLE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70769-6813
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    225-773-4156
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 86 
-----------------------------------------------------
    City                 |    PRAIRIEVILLE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70769-0086
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    225-773-4156
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    NURSE PRACTITIONER
-----------------------------------------------------
    Name                 |     JAMILA  WARNER 
-----------------------------------------------------
    Credential           |    MSN, APRN, PMHNP-C
-----------------------------------------------------
    Telephone            |    225-773-4156
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.