Provider Demographics
NPI:1215552575
Name:W.E.R.K., LLC
Entity Type:Organization
Organization Name:W.E.R.K., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC, RN
Authorized Official - Prefix:
Authorized Official - First Name:TANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, ASN, RN
Authorized Official - Phone:318-268-5330
Mailing Address - Street 1:518 JOEL ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-5206
Mailing Address - Country:US
Mailing Address - Phone:318-268-5330
Mailing Address - Fax:
Practice Address - Street 1:518 JOEL ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-5206
Practice Address - Country:US
Practice Address - Phone:318-268-5330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty