Healthcare Provider Details

I. General information

NPI: 1083526396
Provider Name (Legal Business Name): JENNIFER JENNINGS MESSA PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 GRAVOLET ST
BELLE CHASSE LA
70037-2413
US

IV. Provider business mailing address

122 GRAVOLET ST
BELLE CHASSE LA
70037-2413
US

V. Phone/Fax

Practice location:
  • Phone: 504-491-3423
  • Fax:
Mailing address:
  • Phone: 504-491-3423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC11076
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: