Healthcare Provider Details

I. General information

NPI: 1760309892
Provider Name (Legal Business Name): KENNEDY ANN ESPRIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 W UNIVERSITY AVE STE 200
LAFAYETTE LA
70506-3500
US

IV. Provider business mailing address

708 W UNIVERSITY AVE STE 200
LAFAYETTE LA
70506-3500
US

V. Phone/Fax

Practice location:
  • Phone: 337-781-9742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC11368
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: