Exceptional Wellness of Louisiana Incorporated

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXCEPTIONAL WELLNESS OF LOUISIANA INCORPORATED

Practice address

331 Milam St
Shreveport, LA 71101-5353

Phone

(318) 383-1607

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Latonia Kent

Title

Administrator

Phone

(318) 383-1607

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1124643606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 TEXAS PKWY STE 335",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MILAM ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015353",
            "telephone_number": "318-383-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL WELLNESS OF LOUISIANA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-383-1607"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exceptional Client Care Services
• Exceptional Client Care Services
• Exceptional Client Care Services
• Exceptional Client Care Services
• Exceptional Client Care Services L.L.C
• Eye Care, Inc
• Eye Central
• Eyecare Specialists of Louisiana
• Eyemart Express LLC
• Eyemart Express, LTD.

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.