Healthcare Provider Details

I. General information

NPI: 1184318503
Provider Name (Legal Business Name): LEAH MONTEILH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 W CAUSEWAY APPROACH
MANDEVILLE LA
70471-3045
US

IV. Provider business mailing address

110 MELROSE DR
DESTREHAN LA
70047-2116
US

V. Phone/Fax

Practice location:
  • Phone: 504-533-4999
  • Fax:
Mailing address:
  • Phone: 504-915-1705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number230682
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number230682
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: