# VITALITY ADDICTION SOLUTIONS OF NEW IBERIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VITALITY ADDICTION SOLUTIONS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124747209
- **Legal business name:** VITALITY ADDICTION SOLUTIONS, LLC
- **Authorized official:** LESLEY SHERMAN RN (MEMBER)
- **Authorized official phone:** (225) 329-6783

## Contact information

- **Practice address:** 605 S LEWIS ST, NEW IBERIA, LA 70560-4820
- **Practice address phone:** (337) 465-1195
- **Mailing address:** PO BOX 82599, LAFAYETTE, LA 70598-2599
- **Mailing address phone:** (337) 465-1195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2022
- **Last updated:** 08/23/2022