Provider Demographics
NPI:1659823797
Name:LOUIS, JANELLE (ND, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:ND, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 923602
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30010-3602
Mailing Address - Country:US
Mailing Address - Phone:404-913-1501
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 923602
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30010-3602
Practice Address - Country:US
Practice Address - Phone:404-913-1501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134086175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No175F00000XOther Service ProvidersNaturopath