Healthcare Provider Details

I. General information

NPI: 1750181632
Provider Name (Legal Business Name): NELA SLEEP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 TOWER DR
MONROE LA
71201-5036
US

IV. Provider business mailing address

112 COUNTRY CLUB RD
MONROE LA
71201-2502
US

V. Phone/Fax

Practice location:
  • Phone: 318-387-5732
  • Fax:
Mailing address:
  • Phone: 318-537-3182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM DANIEL RAYMOND
Title or Position: OWNER
Credential: DDS
Phone: 318-537-3182