Healthcare Provider Details

I. General information

NPI: 1285631085
Provider Name (Legal Business Name): SHELLY NICOLE SAVANT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 SETTLERS TRACE BLVD STE 201-C
LAFAYETTE LA
70508-6091
US

IV. Provider business mailing address

326 SETTLERS TRACE BLVD STE 201-C
LAFAYETTE LA
70508-6091
US

V. Phone/Fax

Practice location:
  • Phone: 337-456-2403
  • Fax: 337-412-6436
Mailing address:
  • Phone: 337-456-2403
  • Fax: 337-412-6436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number025564
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number025564
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: