Provider Demographics
NPI:1750561825
Name:CHIROPRACTIC WELLNESS CENTERS OF ACADIANA LLC
Entity type:Organization
Organization Name:CHIROPRACTIC WELLNESS CENTERS OF ACADIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARISSA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAMILTON-TOUPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-783-3334
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70527-0472
Mailing Address - Country:US
Mailing Address - Phone:337-783-3334
Mailing Address - Fax:337-783-3326
Practice Address - Street 1:207 E 5TH ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-4427
Practice Address - Country:US
Practice Address - Phone:337-783-3334
Practice Address - Fax:337-783-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1198261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center