Organization
SUGAR MILL BODY RENEWAL
Active
Organization
SUGAR MILL BODY RENEWAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA FORMICA LMT (OWNER / MASSAGE THERAPIST)
(804) 724-1618
Entity
Organization
Contact information
Practice address
200 PRESCOTT BLVD UNIT 201, YOUNGSVILLE, LA 70592-7044
(240) 479-8860
Mailing address
200 PRESCOTT BLVD UNIT 201, YOUNGSVILLE, LA 70592-7044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up