Healthcare Provider Details

I. General information

NPI: 1306789268
Provider Name (Legal Business Name): JOY MAYHUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 BRIDGE ST STE 4
WEST MONROE LA
71291-2964
US

IV. Provider business mailing address

310 HILTON ST
MONROE LA
71201-4206
US

V. Phone/Fax

Practice location:
  • Phone: 318-485-9369
  • Fax:
Mailing address:
  • Phone: 318-485-9369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10082
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: