Healthcare Provider Details

I. General information

NPI: 1881510170
Provider Name (Legal Business Name): LA VIE EST BELLE AESTHETICS AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3336 W COMMUNITY DR
JUPITER FL
33458-8239
US

IV. Provider business mailing address

3336 W COMMUNITY DR
JUPITER FL
33458-8239
US

V. Phone/Fax

Practice location:
  • Phone: 305-926-8839
  • Fax:
Mailing address:
  • Phone: 305-926-8839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KSENIA NIKOLAYEVNA SOKOL
Title or Position: REGISTERED AGENT AND TITLE MGR
Credential: APRN
Phone: 305-926-8839