Preventive Health &Wellness Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PREVENTIVE HEALTH &WELLNESS CENTER

Doing business as

PHWC services LLc

Practice address

144 Derusso St
Houma, LA 70364-2421

Phone

(985) 746-2236

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly April Willoughby, LPNNPI 1437920063

Title

Owner

Phone

(985) 746-2236

Specialties & licenses 1

Addresses

Other names 1

• PHWC services LLc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly April Willoughby

  • Licensed Practical Nurse
  • Houma, LA
  • NPI 1437920063
  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1497526818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 DERUSSO ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642421",
            "telephone_number": "985-746-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 DERUSSO ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642421",
            "telephone_number": "985-746-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE HEALTH &WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-746-2236",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHWC services LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Paul Prejean, M.D.
• Stacie Prejean
• Susan Prejeant, NP
• Premier OBGYN Specialists, LLC
• Darrell Paul Prestenbach, FNP
• Anne Elizabeth Price, M.D.
• Bridget Miller Price, NP
• Chrishanna Price
• David Price
• Dayna Rae Price, LPC

• Health Service Clinic/Center in Houma, LA
• Providers in Houma, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.