| NPI | 1497347090 |
|---|---|
| Doing Business As | LIFE JOURNEY WELLNESS OF LOUISIANA LLC |
| Entity Type | Organization |
| Authorized Contact | LESLIE C. BOYETT Owner 318-707-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-08-26 |