| NPI | 1841778636 |
|---|---|
| Other Name | BAYOU WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ANDREA BURKS Counselor, Owner 850-324-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH12035) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2023-12-01 |