| NPI | 1669856514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELA SPIKES BICKHAM Owner/Nurse Practitioner 985-893-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08162) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-12-09 |