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Organization
5TH DIMENSION RECOVERY CENTER
Active
Organization
5TH DIMENSION RECOVERY CENTER
Active
Parent organization
5TH DIMENSION RECOVERY CENTER
Other names
5th Dimension Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
5TH DIMENSION RECOVERY CENTER
Authorized official
LEATHA KAY ANATOLE LPC (CLINICAL DIRECTOR)
(337) 280-1625
Entity
Organization
Contact information
Practice address
630 WILSON ST, LAFAYETTE, LA 70503-2154
(337) 280-1625
Mailing address
104 WINDRUSH LN, LAFAYETTE, LA 70506-7855
(337) 280-1625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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