Healthcare Provider Details

I. General information

NPI: 1942161989
Provider Name (Legal Business Name): LOUISIANA HAPPY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13322 HIGHWAY 90 STE J
BOUTTE LA
70039-3010
US

IV. Provider business mailing address

2312 WESTERN TRAILS BLVD STE 102B
AUSTIN TX
78745-1637
US

V. Phone/Fax

Practice location:
  • Phone: 985-338-2802
  • Fax:
Mailing address:
  • Phone: 512-253-7794
  • Fax: 512-253-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JANIS MCDANIEL
Title or Position: MGR
Credential:
Phone: 512-253-7794