Provider Demographics
NPI:1154669141
Name:ACADIA HEALTH & WELLNESS CENTRE', LLC
Entity Type:Organization
Organization Name:ACADIA HEALTH & WELLNESS CENTRE', LLC
Other - Org Name:ACADIA HEALTH & WELLNESS CENTRE'
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LASSEIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-537-3684
Mailing Address - Street 1:108 ACADIA DR.
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394
Mailing Address - Country:US
Mailing Address - Phone:985-537-3684
Mailing Address - Fax:
Practice Address - Street 1:108 ACADIA DR.
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394
Practice Address - Country:US
Practice Address - Phone:985-537-3684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty