Provider Demographics
NPI:1679340293
Name:BELUXXE HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:BELUXXE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORVEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, PMHNP-BC
Authorized Official - Phone:337-212-4122
Mailing Address - Street 1:349 MARYVIEW FARM ROAD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507
Mailing Address - Country:US
Mailing Address - Phone:337-212-4122
Mailing Address - Fax:877-515-1665
Practice Address - Street 1:106 OIL CENTER DRIVE
Practice Address - Street 2:SUITE 104B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2482
Practice Address - Country:US
Practice Address - Phone:337-549-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service