Healthcare Provider Details

I. General information

NPI: 1659827012
Provider Name (Legal Business Name): LENIKA STALBERT MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 BROOKTER ST
SLIDELL LA
70461-3319
US

IV. Provider business mailing address

317 BROOKTER ST
SLIDELL LA
70461-3319
US

V. Phone/Fax

Practice location:
  • Phone: 985-201-7873
  • Fax:
Mailing address:
  • Phone: 225-459-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC10598
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: