Provider Demographics
NPI:1346031044
Name:LESPRIT PYSCHIATRY AND WELLNESS A PROFESSIONAL NURSING CORPORATION
Entity type:Organization
Organization Name:LESPRIT PYSCHIATRY AND WELLNESS A PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHAU
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, PMHNP-BC
Authorized Official - Phone:408-828-3902
Mailing Address - Street 1:201 SPEAR ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-6164
Mailing Address - Country:US
Mailing Address - Phone:408-828-3902
Mailing Address - Fax:
Practice Address - Street 1:201 SPEAR ST STE 1100
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-6164
Practice Address - Country:US
Practice Address - Phone:408-828-3902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty