Whalio Doctors

NPI 1043814486

Headache and Wellness Center of Southwest Louisiana, LLC

Organisation Clinic/Center Lake Charles, LA

Practice location

Address
803 W Bayou Pines Dr STE B, Lake Charles, LA 70601-7096
Phone
(337) 508-2333

Authorised official

Name
Darci L Portie
Title
Owner
Phone
(337) 508-2333

Registered specialties (2)

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1043814486
Entity type
Organization
NPI issued
25 Nov 2020
Record last updated
1 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.