MEDICARE: LIFE P.R.E.S.S. EFFECT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659029387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE P.R.E.S.S. EFFECT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 655
Second Line	:
City	:	SAINT AMANT
State	:	LA
Zip	:	70774-0655
Country	:	US
Telephone Number	:	337-210-3287
Fax Number	:

Provider Business Practice Location Address
First Line	:	7855 HOWELL BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70807-5256
Country	:	US
Telephone Number	:	985-338-9665
Fax Number	:

Authorized Official
Title or Position	:	PMHNP, CNP
Name	:	DAVIDRA KABA
Credential	:	APRN
Telephone Number	:	337-210-3287

Provider Enumeration Date	:	03/11/2022
Last Update Date	:	12/17/2025

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