LONGBRANCH OUTPATIENT RECOVERY LLC NPI 1578091104

NPI Information

NPI: 1578091104
Provider Name: LONGBRANCH OUTPATIENT RECOVERY, LLC

Doing Business As: LONGBRANCH WELLNESS CENTER

Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
406 N. FLORDIA STREET
SUITE #1
COVINGTON, LA
ZIP 70433
Phone: (504) 635-3535
Get Directions

LONGBRANCH OUTPATIENT RECOVERY, LLC is a recovery care clinic center in Covington, LA. LONGBRANCH OUTPATIENT RECOVERY, LLC NPI is 1578091104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Longbranch Wellness Center.

The provider's business location address is:

406 N. FLORDIA STREET
SUITE #1
COVINGTON, LA
ZIP 70433
Phone: (504) 635-3535
Fax: (504) 267-9979

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

The enumeration date for this NPI number is 5/26/2017 and was last updated on 1/18/2024.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
9	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
11	323P00000X	Psychiatric Residential Treatment Facility		No
12	324500000X	Substance Abuse Rehabilitation Facility		No
13	261QR0800X	Clinic/Center	Recovery Care	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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »