# KATIE PORCHE LLC

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

## Provider details

- **NPI number:** 1972147205
- **Authorized official:** KATIE PORCHE PMHNP-BC (PRIMARY PROVIDER)
- **Authorized official phone:** (337) 573-4132

## Contact information

- **Practice address:** 814 FORTUNE RD STE 108, YOUNGSVILLE, LA 70592-5542
- **Practice address phone:** (337) 573-4132
- **Practice address fax:** (337) 573-4161
- **Mailing address:** 215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
- **Mailing address phone:** (337) 806-9339

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 08/28/2022
