Organization
THIRD LIFE CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS RAYFORD RCP (PRINCIPAL CONSULTANT)
(504) 224-0903
Entity
Organization
Contact information
Practice address
5876 COUBRA ST, MARRERO, LA 70072-5104
(504) 223-0256
Mailing address
400 LAPALCO BLVD STE H, GRETNA, LA 70056-7372
(504) 224-0903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
10/02/2025
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