# LONGBRANCH OUTPATIENT RECOVERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Longbranch Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578091104
- **Authorized official:** EMILY ELIZABETH MEYERS LPC (CEO)
- **Authorized official phone:** (920) 309-0541

## Contact information

- **Practice address:** 2329 EDENBORN AVE, METAIRIE, LA 70001-1815
- **Practice address phone:** (504) 635-3535
- **Practice address fax:** (985) 273-3869
- **Mailing address:** 2329 EDENBORN AVE, METAIRIE, LA 70001-1815
- **Mailing address phone:** (504) 635-3535
- **Mailing address fax:** (985) 273-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/26/2017
- **Last updated:** 12/23/2024