Healthcare Provider Details

I. General information

NPI: 1083344048
Provider Name (Legal Business Name): MY'KAYLA JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 WEBER ST
FRANKLIN LA
70538-4124
US

IV. Provider business mailing address

164 S RICHELIEU CIR
NEW IBERIA LA
70560-1568
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-2550
  • Fax: 337-355-2333
Mailing address:
  • Phone: 985-640-9397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: