Provider Demographics
NPI:1801529243
Name:UNLIMITED WELLBEING LLC
Entity type:Organization
Organization Name:UNLIMITED WELLBEING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-PMHNP-BC
Authorized Official - Phone:318-235-3294
Mailing Address - Street 1:295 BLUE HERON RD
Mailing Address - Street 2:
Mailing Address - City:DUBACH
Mailing Address - State:LA
Mailing Address - Zip Code:71235-3429
Mailing Address - Country:US
Mailing Address - Phone:318-235-3294
Mailing Address - Fax:
Practice Address - Street 1:295 BLUE HERON RD
Practice Address - Street 2:
Practice Address - City:DUBACH
Practice Address - State:LA
Practice Address - Zip Code:71235-3429
Practice Address - Country:US
Practice Address - Phone:318-235-3294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty