Provider Demographics
NPI:1225837826
Name:EXCEPTIONAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:EXCEPTIONAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-235-7778
Mailing Address - Street 1:3844 SUE KER DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-1603
Mailing Address - Country:US
Mailing Address - Phone:504-373-8728
Mailing Address - Fax:
Practice Address - Street 1:2439 MANHATTAN BLVD STE 306
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5341
Practice Address - Country:US
Practice Address - Phone:504-373-8728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center