| NPI | 1184555112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY JOSEPH IVERSTINE President 225-445-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106S00000X Behavior Technician | |
| 111N00000X Chiropractor | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 171400000X Health & Wellness Coach | |
| 183500000X Pharmacist | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |