Organization · Type 2 NPI
Sanctuary Louisiana LLC
Substance Use Disorder Rehabilitation Clinic/Center · Lacassine, LA
NPI number
1982215851
Active
Practice location
21089 South Frontage Road
Lacassine, LA 70650-9998
Fax (337) 588-4179
Mailing address
PO Box 1967
Iowa, LA 70647-1967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Rheumatology Physician | 207RR0500X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
4 other providers at this address
- Genesis Life LLCSubstance Use Disorder Rehabilitation Hospital Unit Lacassine, LA NPI 1528507068
- Sanctuary Louisiana, LLCSubstance Abuse Rehabilitation Facility Lacassine, LA NPI 1336688878
- Kelvin Martin Smith, CITAddiction (Substance Use Disorder) Counselor Lacassine, LA NPI 1841853306
- Sabrina Kay WellsAddiction (Substance Use Disorder) Counselor Lacassine, LA NPI 1902377211
About NPI 1982215851
Sanctuary Louisiana LLC's National Provider Identifier is 1982215851, issued on Aug 13, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Lacassine, LA. The record was last updated on Aug 29, 2023.