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Organization
REFRESH VITALIS HEALTH LLC
Active
Organization
REFRESH VITALIS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SAMPY THIBODEAUX FNP-C, PMHNP-BC (OWNER)
(337) 520-2587
Entity
Organization
Contact information
Practice address
3419 NW EVANGELINE TRWY STE A-5, CARENCRO, LA 70520-6241
(337) 520-2587
(337) 520-2594
Mailing address
3419 NW EVANGELINE TRWY STE A-5, CARENCRO, LA 70520-6241
(337) 520-2587
(337) 520-2594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
07/17/2026
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