# HENRIETTA LEE CHAMBERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245074236
- **Authorized official:** HENRIETTA LEE CHAMBERS FNP-BC, PMHNP-BC (MANAGER/PROVIDER)
- **Authorized official phone:** (337) 354-6301

## Contact information

- **Practice address:** 105 MARIE ST, NEW IBERIA, LA 70563-2425
- **Practice address phone:** (337) 354-6301
- **Mailing address:** 12006 OLD JEANERETTE RD, JEANERETTE, LA 70544-5928
- **Mailing address phone:** (337) 354-6301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 07/25/2024