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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STABLE WATERS LLC
NPI 1851222475
Nurse Practitioner - Psychiatric/Mental Health in Broussard, LA

Active since May 25, 2026
420 ALBERTSON PKWY, BROUSSARD, LA 70518(504) 905-4359 Get Directions Write a Review

NPPES record added: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stable Waters Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STABLE WATERS LLC (NPI 1851222475) is a healthcare organization registered as a psychiatric/mental health in Broussard, Louisiana and active in the NPI registry since May 2026. The organization lists Kendra A Calais-kelly, Pmhnp, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1851222475
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSTABLE WATERS LLC
Location Address420 ALBERTSON PKWYBroussard, LA 70518-4968
Mailing Address407 Bozeman TrlScott, LA 70583-4259 · (504) 905-4359
Phone(504) 905-4359
Organization SubpartNo
Authorized OfficialKendra A Calais-kellyPmhnp, Sole Owner · (504) 905-4359
Enumeration DateMay 25, 2026
NPPES CertifiedMay 25, 2026
✔ NPI 1851222475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
420 ALBERTSON PKWY, Broussard, LA 70518
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC
Psychiatric Hospital
420 ALBERTSON PKWY
BROUSSARD, LA 70518
Lafayette Parish (337) 237-6444
MRS. KENDRA CALAIS-KELLY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
420 ALBERTSON PKWY
BROUSSARD, LA 70518
Lafayette Parish (337) 237-6444
MCKAY PELLERIN
Marriage & Family Therapist
420 ALBERTSON PKWY
BROUSSARD, LA 70518
Lafayette Parish (337) 839-9008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stable Waters LLC's NPI number?

The NPI number for Stable Waters LLC is 1851222475. It was assigned to this organization in the NPPES registry on May 25, 2026.

Where is Stable Waters LLC located?

Stable Waters LLC is located at 420 Albertson Pkwy, Broussard, LA 70518. The listed phone number is (504) 905-4359.

What is Stable Waters LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Stable Waters LLC was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.