# SOUTHERN PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MELISSA ELLIS
- **Other names:** Melissa Ellis
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982258745
- **Legal business name:** MELISSA ELLIS
- **Authorized official:** MELISSA ELLIS APRN (OWNER)
- **Authorized official phone:** (225) 803-1142

## Contact information

- **Practice address:** 41452 BESS RD, PRAIRIEVILLE, LA 70769-5700
- **Practice address phone:** (225) 803-1142
- **Practice address fax:** (225) 803-1142
- **Mailing address:** 41452 BESS RD, PRAIRIEVILLE, LA 70769-5700
- **Mailing address phone:** (225) 803-1142

## 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:** 07/30/2019
- **Last updated:** 07/13/2021