Organization Active NPI

Wellness Initiatives LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
National Provider Identifier
1093357113
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLNESS INITIATIVES LLC
Practice address
2485 Tower Dr Ste 10
Monroe, LA 71201-5769
Phone
(318) 410-1555
Fax
(318) 599-8087
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Roberts
Title
Billing Manager
Phone
(318) 381-4759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2485 Tower Dr Ste 10
Monroe, LA 71201-5769

Mailing address

2485 Tower Dr Ste 10
Monroe, LA 71201-5769
Phone (318) 410-1555

National Provider Directory

National Provider Directory

Locations

2485 Tower Dr
Ste 10
Monroe, LA 71201
Phone (318) 410-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1093357113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 TOWER DR STE 10",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015769",
            "telephone_number": "318-410-1555",
            "fax_number": "318-599-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 TOWER DR STE 10",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015769",
            "telephone_number": "318-410-1555",
            "fax_number": "318-599-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INITIATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "318-381-4759"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.