# HYDRATION HAVEN LLC

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

## Provider details

- **NPI number:** 1477470284
- **Authorized official:** SHELBY LYNN FOURROUX FNP (OWNER/PROVIDER)
- **Authorized official phone:** (504) 458-6337

## Contact information

- **Practice address:** 842 BEHRMAN HWY STE 103, TERRYTOWN, LA 70056-4546
- **Practice address phone:** (504) 450-6682
- **Mailing address:** 842 BEHRMAN HWY STE 103, TERRYTOWN, LA 70056-4546
- **Mailing address phone:** (504) 450-6682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2026
- **Last updated:** 07/01/2026