Organization
ACTIVE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESE D SCHAFFNER MA, LAC, PLPC (CEO)
(318) 210-1539
Entity
Organization
Contact information
Practice address
3821 SOUTHERN AVE, ACTIVE RECOVERY LLC, SHREVEPORT, LA 71106
(318) 946-8157
(318) 216-5868
Mailing address
3821 SOUTHERN AVE, SHREVEPORT, LA 71106
(318) 946-8157
(318) 216-5868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LA1454
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC 896
LA
251S00000X
Community/Behavioral Health Agency
LPC LMHP 2785
LA
Other
Enumeration date
06/29/2012
Last updated
10/24/2025
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