Wellness Management Chiropractic & Medical Clinic Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1137 Issued in LA

Legal business name

WELLNESS MANAGEMENT CHIROPRACTIC & MEDICAL CLINIC INC.

Practice address

2121 Lake St
Lake Charles, LA 70601-7103

Phone

(337) 433-1919

Fax

(337) 433-1928

NPI assigned

Oct 9, 2009

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Ms. Gloria D Kennison

Title

Office Manager

Phone

(337) 433-1919

Specialties & licenses 1

Addresses

Other names 1

• Thornell Mitchell Doing business as

Part of

Wellness Management Med

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1770818759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017103",
            "telephone_number": "337-433-1919",
            "fax_number": "337-433-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017103",
            "telephone_number": "337-433-1919",
            "fax_number": "337-433-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MANAGEMENT CHIROPRACTIC & MEDICAL CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-433-1919",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thornell Mitchell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Lee Welch, LPC
• Constance Lazard Weldon
• Emily H Weldon, PT
• Terry Welke, M.D.
• Wellness Chiropractic & Holistic Care
• Wellness Management Chiropractic and Medical Clinic Inc.
• Miriam Werquin, LCSW
• Kimberly Wesson-Guidry, DSW,MSW, LCSW
• West Cal Anesthesia Associates
• Lauren Broussard Westmoreland, M.A., L-SLP, CCC-SLP

• Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.