# BROUSSARD MENTAL HEALTH AND WELLNESS CLINIC LLC

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

## Provider details

- **NPI number:** 1982596789
- **Authorized official:** ERICKA BROUSSARD PMHNP, ANP-BC (OWNER)
- **Authorized official phone:** (337) 277-6944

## Contact information

- **Practice address:** 4016 HIGHWAY 90 E STE 112, BROUSSARD, LA 70518-3548
- **Practice address phone:** (337) 761-0727
- **Practice address fax:** (337) 761-1688
- **Mailing address:** 105 HANNA DR, YOUNGSVILLE, LA 70592-5520
- **Mailing address phone:** (337) 277-6944
- **Mailing address fax:** (337) 761-1688

## 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:** 07/16/2025
- **Last updated:** 07/16/2025