Healthcare Provider Details
I. General information
NPI: 1619839792
Provider Name (Legal Business Name): MIGG ENTERPRISE & CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3419 NW EVANGELINE TRWY VO-E2
CARENCRO LA
70520
US
IV. Provider business mailing address
3419 NW EVANGELINE TRWY VO-E2
CARENCRO LA
70520
US
V. Phone/Fax
- Phone: 225-900-7509
- Fax: 225-529-2124
- Phone: 225-900-7509
- Fax: 225-529-2124
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LASHYRA
D
ARCENEAUX
Title or Position: SOLE OWNER/PMHNP
Credential:
Phone: 337-446-1988