Broussard Mental Health and Wellness Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BROUSSARD MENTAL HEALTH AND WELLNESS CLINIC LLC

Practice address

4016 Highway 90 E Ste 112
Broussard, LA 70518-3548

Phone

(337) 761-0727

Fax

(337) 761-1688

NPI assigned

Jul 16, 2025

Organization subpart

No

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

Authorized official

Name

Ericka Broussard, PMHNP, ANP-BCNPI 1962688077

Title

Owner

Phone

(337) 277-6944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

• Ericka Lafleur Broussard, NP

  • Adult Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1962688077

  LA, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Kelly D Jacobs, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1447092630
  NPD
• Shelbi Meyer, FNP-C

  • Family Nurse Practitioner
  • Broussard, LA
  • NPI 1528823580
  NPD

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1982596789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HANNA DR",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925520",
            "telephone_number": "337-277-6944",
            "fax_number": "337-761-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 HIGHWAY 90 E STE 112",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705183548",
            "telephone_number": "337-761-0727",
            "fax_number": "337-761-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD MENTAL HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-277-6944",
        "authorized_official_credential": "PMHNP, ANP-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": []
}

• Mercedes Sade' Boudreaux
• Therese Renee Boudreaux, CRT
• Blaine Phillip Boutte, MD
• Breathing Centers of Acadiana, LLC
• Breedlove Medical, Inc
• Aimee C Broussard, APRN
• Carlos A Bruno, MD
• Kendra Calais-Kelly, PMHNP-BC
• Jentell Shonta Calais
• Gene Thomas Callais Jr., MD

• All providers in Broussard, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.