Healthcare Provider Details

I. General information

NPI: 1124874524
Provider Name (Legal Business Name): IKIGAI HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 JEFFERSON BLVD
LAFAYETTE LA
70501-7206
US

IV. Provider business mailing address

124 OAK COULEE DR
LAFAYETTE LA
70507-4816
US

V. Phone/Fax

Practice location:
  • Phone: 337-315-7676
  • Fax: 337-504-9707
Mailing address:
  • Phone: 337-315-7676
  • Fax: 337-504-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MYISHA SANAE JOHNSON-LEDET
Title or Position: OWNER
Credential: FNP-C
Phone: 337-315-7676