# CENTER FOR LONGEVITY AND WELLNESS

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

## Provider details

- **NPI number:** 1528244811
- **Authorized official:** MISS TIFFANY ROBERTS SCHACHERL (BUSINESS MANAGER)
- **Authorized official phone:** (504) 885-7360

## Contact information

- **Practice address:** 3601 HOUMA BLVD, SUITE 300, METAIRIE, LA 70006-4326
- **Practice address phone:** (504) 885-7360
- **Practice address fax:** (504) 885-1360
- **Mailing address:** 3601 HOUMA BLVD, SUITE 300, METAIRIE, LA 70006-4326
- **Mailing address phone:** (504) 885-7360
- **Mailing address fax:** (504) 885-1360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 012129 | LA | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 04/17/2008
