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Sanctuary Louisiana Llc
Psychiatric/Mental Health Nurse Practitioner in Lacassine, Louisiana
NPI 1982215851

Sanctuary Louisiana Llc is a Psychiatric/Mental Health Nurse Practitioner based in Iowa, LA and is specialized in Psychiatric/Mental Health. Sanctuary Louisiana Llc practices in Lacassine, LA. The NPI Number for Sanctuary Louisiana Llc is 1982215851 and holds a License No. (Louisiana).

The current practice location address for Sanctuary Louisiana Llc is 21089 South Frontage Road, Lacassine, LA and can be reached out via phone at 337-936-9197 and via fax at 337-588-4179.

Location: 21089 South Frontage Road, Lacassine, LA, 70647-1967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982215851
Provider Name
Sanctuary Louisiana Llc
Credential
Provider Entity Type
Organization
Address
21089 South Frontage Road, Lacassine, LA, 70647-1967
Phone Number
337-936-9197
Fax Number
337-588-4179
Provider Enumeration Date
08/13/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
21089 South Frontage Road
City
Lacassine
State
Louisiana
Zip
70650-9998
Phone Number
337-936-9197
Fax Number
337-588-4179
person
Provider Business Mailing Address Details
Address
21089 South Frontage Road
City
Lacassine
State
Louisiana
Zip
70650-9998
Phone Number
337-936-9197
Fax Number
337-588-4179
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
()
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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