FOREVER WELLNESS & RECOVERY LLC NPI 1578119996

NPI Information

NPI: 1578119996
Provider Name: FOREVER WELLNESS & RECOVERY LLC

Doing Business As: FOREVER WELLNESS & RECOVERY CLINIC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
910 PIERREMONT RD STE 311
SHREVEPORT, LA
ZIP 71106
Phone: (337) 562-6616
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FOREVER WELLNESS & RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Shreveport, LA. FOREVER WELLNESS & RECOVERY LLC NPI is 1578119996. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Forever Wellness & Recovery Clinic.

The provider's business location address is:

910 PIERREMONT RD STE 311
SHREVEPORT, LA
ZIP 71106-058
Phone: (337) 562-6616

The provider's authorized official is Brian Hollins .
The authorized official title is Coo and has the following contact phone number (318) 230-5794.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 5/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	No
3	363LF0000X	Nurse Practitioner	Family	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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