Provider Demographics
NPI:1154211001
Name:ELITE MINDCARE & WELLNESS, LLC
Entity type:Organization
Organization Name:ELITE MINDCARE & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP
Authorized Official - Phone:985-298-8657
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:MOUNT HERMON
Mailing Address - State:LA
Mailing Address - Zip Code:70450-0010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:809 BOAT RAMP RD
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3631
Practice Address - Country:US
Practice Address - Phone:985-298-8657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health