Provider Demographics
NPI:1447422902
Name:LEE, JOY BOUDREAUX
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:BOUDREAUX
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WICHERS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3023
Mailing Address - Country:US
Mailing Address - Phone:504-349-8833
Mailing Address - Fax:504-349-8844
Practice Address - Street 1:3300 W ESPLANADE AVE S
Practice Address - Street 2:SUITE 213
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-7406
Practice Address - Country:US
Practice Address - Phone:504-838-5716
Practice Address - Fax:504-838-5714
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor