# REFRESH HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295352540
- **Authorized official:** TIFFANY SAMPY THIBODEAUX FNP-C, PMHNP-BC (CEO)
- **Authorized official phone:** (337) 520-2587

## Contact information

- **Practice address:** 3419 NW EVANGELINE TRWY STE H-3, CARENCRO, LA 70520-6241
- **Practice address phone:** (337) 520-2587
- **Practice address fax:** (337) 520-2594
- **Mailing address:** PO BOX 1003, CARENCRO, LA 70520-1003
- **Mailing address phone:** (337) 520-2587
- **Mailing address fax:** (337) 520-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 10/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2427172 | — | LA |