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General NPI Number Information
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NPI Number | 1952008773
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE WELLNESS AND MENTAL HEALTH LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 2043 COTEAU RD STE 104
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City | HOUMA
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State | LA
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Zip | 70364-2165
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Country | US
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Telephone | 985-323-6420
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Fax | 985-202-4028
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Provider Business Mailing Address
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Address Line | 2043 COTEAU RD STE 104
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City | HOUMA
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State | LA
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Zip | 70364-2165
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Country | US
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Telephone | 985-323-6420
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Fax | 985-202-4028
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Authorized Official
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Title or Position | CEO
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Name | LORI WILLIAMS GARDINER
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Credential | DNP APRN FNP PMHNP
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Telephone | 985-381-3494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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