| NPI | 1003779604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINEASE CHANTELE SANDERS Nurse Pracicitioner/ Owner 225-252-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2026-04-23 |