Provider Demographics
NPI:1083386023
Name:THE WELL MIND, LLC
Entity Type:Organization
Organization Name:THE WELL MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:985-354-6130
Mailing Address - Street 1:PO BOX 1812
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70381-1812
Mailing Address - Country:US
Mailing Address - Phone:985-354-6130
Mailing Address - Fax:
Practice Address - Street 1:1014 7TH ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1906
Practice Address - Country:US
Practice Address - Phone:985-354-6130
Practice Address - Fax:985-354-6086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA000000OtherNONE
LA3527511Medicaid