Healthcare Provider Details

I. General information

NPI: 1356122600
Provider Name (Legal Business Name): BLAKE TAYLOR LAGARDE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BLAKE T LAGARDE PMHNP/PCFNP-BC, DNP

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9413 BELLE CHERIE PL
NEW ORLEANS LA
70123-2633
US

IV. Provider business mailing address

9413 BELLE CHERIE PL
RIVER RIDGE LA
70123-2633
US

V. Phone/Fax

Practice location:
  • Phone: 504-941-2881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number239701
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number239701
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: