Organization
SANCTUARY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN LYNNE WANGERIN (CEO/LPC-S)
(504) 317-1038
Entity
Organization
Contact information
Practice address
1500 LAFAYETTE ST STE 156, GRETNA, LA 70053-5778
(504) 608-4769
(504) 336-3418
Mailing address
1500 LAFAYETTE ST STE 156, GRETNA, LA 70053-5778
(504) 608-4769
(504) 336-3418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3950405
—
LA
Enumeration date
02/04/2019
Last updated
07/14/2022
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