# LAURI G. HALLER, LLC

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

## Provider details

- **NPI number:** 1730687872
- **Authorized official:** TRACI GENOVESE OLIVIER (BILLING MANAGER)
- **Authorized official phone:** (337) 948-4030

## Contact information

- **Practice address:** 1535 W MAIN ST, VILLE PLATTE, LA 70525
- **Practice address phone:** (337) 506-2294
- **Practice address fax:** (929) 259-5972
- **Mailing address:** 144 CANDY LN, VILLE PLATTE, LA 70586-2936
- **Mailing address phone:** (337) 831-0191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP09559 | LA | Yes |

## Other

- **Enumeration date:** 01/23/2018
- **Last updated:** 09/30/2025