Healthcare Provider Details

I. General information

NPI: 1053243972
Provider Name (Legal Business Name): TYME TOUX HEAL MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 RUE BEAUREGARD STE 202
LAFAYETTE LA
70508-3251
US

IV. Provider business mailing address

201 RUE BEAUREGARD STE 202
LAFAYETTE LA
70508-3251
US

V. Phone/Fax

Practice location:
  • Phone: 509-768-2249
  • Fax:
Mailing address:
  • Phone: 509-768-2249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIKELEANNA DUTTON
Title or Position: OWNER/PMHNP-BC
Credential: APRN
Phone: 225-405-7632