SOUTHERN PSYCHIATRY LLC NPI 1982258745

NPI Information

SOUTHERN PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Prairieville, LA. SOUTHERN PSYCHIATRY LLC NPI is 1982258745. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Melissa Ellis.

The provider's business location address is:

41452 BESS RD
PRAIRIEVILLE, LA
ZIP 70769-700
Phone: (225) 803-1142
Fax: (225) 803-1142

The provider's authorized official is Melissa Ellis .
The authorized official title is Owner and has the following contact phone number (225) 803-1142.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/13/2021.

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:

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