# THE SATED SOUL, LLC

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

## Provider details

- **NPI number:** 1962161679
- **Authorized official:** ANGELA JUBERT MD, ABPN, ABPM (OWNER)
- **Authorized official phone:** (813) 802-7477

## Contact information

- **Practice address:** 1901 AIRLINE DR \# B, METAIRIE, LA 70001-5936
- **Practice address phone:** (504) 877-6607
- **Practice address fax:** (844) 327-3882
- **Mailing address:** 1901 AIRLINE DR \# B, METAIRIE, LA 70001-5936
- **Mailing address phone:** (504) 877-6607
- **Mailing address fax:** (844) 327-3882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 02/04/2022
