Provider Demographics
NPI:1154862720
Name:SYNERGY WELLNESS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SYNERGY WELLNESS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLENDON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-510-5511
Mailing Address - Street 1:1500 LAFAYETTE ST STE 141
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-5758
Mailing Address - Country:US
Mailing Address - Phone:504-510-5511
Mailing Address - Fax:
Practice Address - Street 1:1500 LAFAYETTE ST STE 141
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5758
Practice Address - Country:US
Practice Address - Phone:504-510-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDIPOINT SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty