STABLE WATERS LLC NPI 1851222475

NPI Information

  • NPI: 1851222475
  • Provider Name: STABLE WATERS LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 420 ALBERTSON PKWY
    BROUSSARD, LA
    ZIP 70518
  • Phone: (504) 905-4359

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NPI Details

STABLE WATERS LLC is a psychiatric/mental health nurse practitioner in Broussard, LA. STABLE WATERS LLC NPI is 1851222475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

420 ALBERTSON PKWY
BROUSSARD, LA
ZIP 70518-968
Phone: (504) 905-4359

The provider's authorized official is Kendra A Calais-kelly .
The authorized official title is Pmhnp, Sole Owner and has the following contact phone number (504) 905-4359.

The enumeration date for this NPI number is 5/25/2026 and was last updated on 5/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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