Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 HOWELL BLVD
BATON ROUGE LA
70807-5256
US

IV. Provider business mailing address

PO BOX 655
SAINT AMANT LA
70774-0655
US

V. Phone/Fax

Practice location:
  • Phone: 985-338-9665
  • Fax:
Mailing address:
  • Phone: 337-210-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAVIDRA KABA
Title or Position: PMHNP, CNP
Credential: APRN
Phone: 337-210-3287