Organization
LIFE STAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY MARIE JOHNESE RSW (DIRECTOR)
(504) 236-4497
Entity
Organization
Contact information
Practice address
1819 FRANKLIN AVE, GRETNA, LA 70053-3404
(504) 236-4497
(504) 361-9443
Mailing address
1517 STEEPLE CHASE LN, NEW ORLEANS, LA 70131-7918
(504) 236-4497
(504) 361-9443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
04/15/2011
Last updated
07/21/2022
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