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Organization
LONGBRANCH OUTPATIENT RECOVERY, LLC
Active
Organization
LONGBRANCH OUTPATIENT RECOVERY, LLC
Active
Other names
Longbranch Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ELIZABETH MEYERS LPC (CEO)
(920) 309-0541
Entity
Organization
Contact information
Practice address
2329 EDENBORN AVE, METAIRIE, LA 70001-1815
(504) 635-3535
(985) 273-3869
Mailing address
2329 EDENBORN AVE, METAIRIE, LA 70001-1815
(504) 635-3535
(985) 273-3869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
NULL
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
05/26/2017
Last updated
12/23/2024
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