Organization
LIFE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY ROBERT (CHIEF OPERATIONS OFFICER)
(225) 268-7998
Entity
Organization
Contact information
Practice address
10565 LIFE HOUSE STREET, ST. JAMES, LA 70086
(225) 644-3762
Mailing address
10565 LIFE HOUSE STREET, ST. JAMES, LA 70086
(225) 644-3762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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