Healthcare Provider Details

I. General information

NPI: 1821529645
Provider Name (Legal Business Name): JOELLE ESPREE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 KALISTE SALOOM RD
LAFAYETTE LA
70508-4230
US

IV. Provider business mailing address

300 SPRUCE DR
LAFAYETTE LA
70506-7066
US

V. Phone/Fax

Practice location:
  • Phone: 337-234-7109
  • Fax: 337-234-7898
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8016
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: