Provider Demographics
NPI:1346744828
Name:BELLE ESPRIT, LLC
Entity Type:Organization
Organization Name:BELLE ESPRIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:GUILLORY
Authorized Official - Last Name:HALLER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:337-831-0191
Mailing Address - Street 1:1535 W MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-2868
Mailing Address - Country:US
Mailing Address - Phone:337-363-2294
Mailing Address - Fax:337-363-2295
Practice Address - Street 1:1535 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-2868
Practice Address - Country:US
Practice Address - Phone:337-363-2294
Practice Address - Fax:337-363-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)