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Organization
VITALITY ADDICTION SOLUTIONS OF NEW IBERIA, LLC
Active
Organization
VITALITY ADDICTION SOLUTIONS OF NEW IBERIA, LLC
Active
Parent organization
VITALITY ADDICTION SOLUTIONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITALITY ADDICTION SOLUTIONS, LLC
Authorized official
LESLEY SHERMAN RN (MEMBER)
(225) 329-6783
Entity
Organization
Contact information
Practice address
605 S LEWIS ST, NEW IBERIA, LA 70560-4820
(337) 465-1195
Mailing address
PO BOX 82599, LAFAYETTE, LA 70598-2599
(337) 465-1195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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