Provider Demographics
NPI:1003085234
Name:HOUMA WELLNESS CENTER COUNSELING SERVICES
Entity Type:Organization
Organization Name:HOUMA WELLNESS CENTER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-876-9926
Mailing Address - Street 1:991 GRAND CAILLOU RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363-5705
Mailing Address - Country:US
Mailing Address - Phone:985-876-8513
Mailing Address - Fax:985-876-8514
Practice Address - Street 1:991 GRAND CAILLOU RD
Practice Address - Street 2:SUITE 120
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-5705
Practice Address - Country:US
Practice Address - Phone:985-876-8513
Practice Address - Fax:985-876-8514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health