# REFRESH VITALIS HEALTH LLC

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

## Provider details

- **NPI number:** 1881541373
- **Authorized official:** TIFFANY SAMPY THIBODEAUX FNP-C, PMHNP-BC (OWNER)
- **Authorized official phone:** (337) 520-2587

## Contact information

- **Practice address:** 3419 NW EVANGELINE TRWY STE A-5, CARENCRO, LA 70520-6241
- **Practice address phone:** (337) 520-2587
- **Practice address fax:** (337) 520-2594
- **Mailing address:** 3419 NW EVANGELINE TRWY STE A-5, CARENCRO, LA 70520-6241
- **Mailing address phone:** (337) 520-2587
- **Mailing address fax:** (337) 520-2594

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2026
- **Last updated:** 07/17/2026