LONGBRANCH OUTPATIENT RECOVERY LLC NPI 1184237653

NPI Information

NPI: 1184237653
Provider Name: LONGBRANCH OUTPATIENT RECOVERY, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 19D2152317

Address:
701 METAIRIE RD STE 2A301
METAIRIE, LA
ZIP 70005
Phone: (504) 267-9960
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LONGBRANCH OUTPATIENT RECOVERY, LLC is an addiction (substance use disorder) counselor in Metairie, LA. LONGBRANCH OUTPATIENT RECOVERY, LLC NPI is 1184237653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 METAIRIE RD STE 2A301
METAIRIE, LA
ZIP 70005-045
Phone: (504) 267-9960
Fax: (504) 267-9969

The provider's authorized official is Emily Elizabeth Meyers .
The authorized official title is Executive Director and has the following contact phone number (920) 309-0541.

The CLIA number assigned to this NPI record is 19D2152317 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2020 and was last updated on 8/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	103TC0700X	Psychologist	Clinical	No
3	103TC1900X	Psychologist	Counseling	No
4	103TP0016X	Psychologist	Prescribing (Medical)	No
5	1041C0700X	Social Worker	Clinical	No
6	106H00000X	Marriage & Family Therapist		No
7	2084P0800X	Psychiatry & Neurology	Psychiatry	No
8	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
10	261QR0800X	Clinic/Center	Recovery Care	No
11	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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