Healthcare Provider Details

I. General information

NPI: 1124664271
Provider Name (Legal Business Name): KATE LOUVIERE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 N AVENUE L
CROWLEY LA
70526-3832
US

IV. Provider business mailing address

415 LAMAR ST
LAFAYETTE LA
70501-8123
US

V. Phone/Fax

Practice location:
  • Phone: 337-788-3330
  • Fax:
Mailing address:
  • Phone: 985-519-2582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number208409
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: