Mimi Lacouture PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIMI LACOUTURE PLLC

Practice address

1225 E River Dr Ste 205
Davenport, IA 52803-5752

Phone

(563) 340-8470

Fax

(563) 202-7303

NPI assigned

Sep 10, 2024

Organization subpart

Yes

Parent organization

MIMI LACOUTURE PLLCAs reported in NPPES

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

Authorized official

Name

Michelle Lacouture, ARNPNPI 1508507237

Title

Pmhnp

Phone

(563) 340-8470

Specialties & licenses 1

Addresses

Part of

Mimi Lacouture LLC

Locations

Practitioners 1

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

• Michelle Lynn Lacouture, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Davenport, IA
  • NPI 1508507237
  NPD Authorized official

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1841026440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "527670401",
            "telephone_number": "563-340-8470",
            "fax_number": "563-202-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E RIVER DR STE 205",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035752",
            "telephone_number": "563-340-8470",
            "fax_number": "563-202-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI LACOUTURE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIMI LACOUTURE PLLC",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "LACOUTURE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "563-340-8470",
        "authorized_official_credential": "ARNP"
    },
    "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": []
}

• Susan Miller, RN
• Timothy J. Miller, M.D.
• Megan Marie Million, HI/S
• Mikka Rose Mills, LMSW
• Genevieve Millwood
• Susan V Mina
• Janel Delyn Miner, CNM
• Heather Faye Mink, CNM
• Janene Misak, PA-C
• Ashlee Misiag, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.