# PEDIATRICS REIMAGINED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Local Pediatrics on Demand
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356123350
- **Authorized official:** MICHELLE THEARD DNP, CPNP-AC (MANAGING MEMBER)
- **Authorized official phone:** (504) 343-4714

## Contact information

- **Practice address:** 1901 HIGHWAY 190 STE 9, MANDEVILLE, LA 70448-3495
- **Practice address phone:** (985) 231-4060
- **Practice address fax:** (985) 353-4460
- **Mailing address:** 1901 HIGHWAY 190 STE 9, MANDEVILLE, LA 70448-3495
- **Mailing address phone:** (985) 231-4060
- **Mailing address fax:** (985) 353-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/31/2025