Healthcare Provider Details

I. General information

NPI: 1215857511
Provider Name (Legal Business Name): THE BOUJEE BEE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W ESPLANADE AVE STE A
KENNER LA
70065-2866
US

IV. Provider business mailing address

701 W ESPLANADE AVE STE A
KENNER LA
70065-2866
US

V. Phone/Fax

Practice location:
  • Phone: 504-844-4028
  • Fax:
Mailing address:
  • Phone: 504-844-4028
  • Fax:

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: CHARLA LEE
Title or Position: OWNER
Credential: FNP
Phone: 504-339-1114