OrganizationActive
Preventive Health &wellness Center
NPI 1497526818 · Health Service Clinic/Center · Houma, LA
Provider details
- NPI number
- 1497526818
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Willoughby, Owner(985) 746-2236
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
144 Derusso St
Houma, LA 70364-2421
Phone: (985) 746-2236
Approximate (ZIP-level) locationGet directions
Mailing address
144 Derusso St
Houma, LA 70364-2421
Other names (DBA / former)
- Doing business as
- Phwc Services LLC
Registry dates
- Enumerated
- 2024-01-15
- Last updated
- 2024-01-15
- Certified
- 2024-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.