Organization
VITALITY ADDICTION SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY SHERMAN RN (MEMBER)
(225) 329-6783
Entity
Organization
Contact information
Practice address
605 S LEWIS ST, NEW IBERIA, LA 70560-4820
(337) 465-1195
Mailing address
PO BOX 82599, LAFAYETTE, LA 70598-2599
(337) 288-1908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/23/2022
Last updated
08/24/2022
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