The Lousiana Health and Wellness Group L.L.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE LOUSIANA HEALTH AND WELLNESS GROUP L.L.C.

Practice address

4266 W Main St
Gray, LA 70359-6409

Phone

(225) 288-9852

Fax

(225) 644-4315

NPI assigned

May 2, 2007

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wendell Smith

Title

Manager

Phone

(225) 288-9852

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sandra Lee Brommeland Gonzalez, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Thibodaux, LA
  • NPI 1053428342
  NPD (past)
• George Dudley Grove, M.D.

  • Psychiatry Physician
  • Houma, LA
  • NPI 1689889644
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1629290473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 W MAIN ST",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596409",
            "telephone_number": "225-288-9852",
            "fax_number": "225-644-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 W MAIN ST",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596409",
            "telephone_number": "225-288-9852",
            "fax_number": "225-644-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOUSIANA HEALTH AND WELLNESS GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-288-9852",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Gray, LA
• Providers in Gray, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.