Healthcare Provider Details

I. General information

NPI: 1508672072
Provider Name (Legal Business Name): LASHYRA DANIELLA ARCENEAUX PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W GLORIA SWITCH RD STE 115
LAFAYETTE LA
70507-3419
US

IV. Provider business mailing address

208 W GLORIA SWITCH RD STE 115
LAFAYETTE LA
70507-3419
US

V. Phone/Fax

Practice location:
  • Phone: 225-900-7509
  • Fax: 225-529-2124
Mailing address:
  • Phone: 225-900-7509
  • Fax: 225-529-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number210950
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: