Organization
SHELBY HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANNE MAZZANTI LPC (OWNER)
(318) 380-2486
Entity
Organization
Contact information
Practice address
1516 ELIZABETH ST, WEST MONROE, LA 71291-7108
(318) 380-2486
Mailing address
209 PINE GROVE CIR, WEST MONROE, LA 71291-7736
(318) 380-2486
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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