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THE GROVE OF LA LLC NPI 1699139329


NPI Information

NPI: 1699139329
Provider Name: THE GROVE OF LA, LLC

Doing Business As: THE GROVE RECOVERY CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 19D2112012

Address:
7384 JOHN LEBLANC BLVD
SORRENTO, LA
ZIP 70778
Phone: (225) 330-9328
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THE GROVE OF LA, LLC is a professional counselor in Sorrento, LA. THE GROVE OF LA, LLC NPI is 1699139329. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Grove Recovery Center.

The provider's business location address is:

7384 JOHN LEBLANC BLVD
SORRENTO, LA
ZIP 70778-231
Phone: (225) 330-9328

The provider's authorized official is Denise A Thibodeaux .
The authorized official title is Owner/ Clinical Director and has the following contact phone number (225) 330-9328.

The CLIA number assigned to this NPI record is 19D2112012 - other - intensive outpatient prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 9/16/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1505LOUISIANANo
2101YP2500XCounselorProfessional4943LOUISIANAYes

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

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