Provider Demographics
NPI:1609245117
Name:THE WELLNESS STUDIO, LLC
Entity Type:Organization
Organization Name:THE WELLNESS STUDIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSNESED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:CAGE
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:225-448-3359
Mailing Address - Street 1:661 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6021
Mailing Address - Country:US
Mailing Address - Phone:318-573-5899
Mailing Address - Fax:225-448-3403
Practice Address - Street 1:7472 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-6611
Practice Address - Country:US
Practice Address - Phone:225-448-3359
Practice Address - Fax:225-448-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health