Organization
LIFE ENHANCEMENT AND FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA PETERSON LCSW (OWNER)
(504) 430-6903
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD STE 10, TERRYTOWN, LA 70056-3950
(504) 430-6903
Mailing address
2350 PARK PLACE DR APT 51, GRETNA, LA 70056-3074
(504) 430-6903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
07/11/2019
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