Southern Serenity Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTHERN SERENITY PSYCHIATRY LLC

Practice address

1340 W Tunnel Blvd Ste 508
Houma, LA 70360-2802

Phone

(985) 306-8676

Fax

(985) 261-4834

NPI assigned

Sep 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Hebert Boudreaux, PMHNP-BCNPI 1710710298

Title

Owner

Phone

(985) 306-8676

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Hebert Boudreaux, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
  • NPI 1710710298

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1053139089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 W TUNNEL BLVD STE 508",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602802",
            "telephone_number": "985-306-8676",
            "fax_number": "985-261-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W TUNNEL BLVD STE 508",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602802",
            "telephone_number": "985-306-8676",
            "fax_number": "985-261-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SERENITY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "HEBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-306-8676",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Leonor Soza, PHARM. D
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• Mark E Spence, CRNA
• Jacqueline B Spencer, BS, MHA

• Psychiatric/Mental Health Nurse Practitioner in Houma, LA
• Providers in Houma, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.