Provider Demographics
NPI:1023222015
Name:WOMENS HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:WOMENS HEALTH & WELLNESS LLC
Other - Org Name:VICKI L STEEN MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-893-0995
Mailing Address - Street 1:77 STARBRUSH CIRCLE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:985-893-0995
Mailing Address - Fax:985-893-8910
Practice Address - Street 1:77 STARBRUSH CIRCLE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-893-0995
Practice Address - Fax:985-893-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022161207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1493112Medicaid
G70290Medicare UPIN
LA5DG87Medicare UPIN