Organization
THE GROVE OF LA, LLC
Active
Other names
The Grove Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE A THIBODEAUX LPC, LAC, CCS (OWNER/ CLINICAL DIRECTOR)
(225) 330-9328
Entity
Organization
Contact information
Practice address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 330-9328
Mailing address
5311 DIJON DR STE C, BATON ROUGE, LA 70808-4314
(225) 330-9328
(225) 258-7098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1505
LA
101YP2500X
Professional Counselor
Primary
4943
LA
Other
Enumeration date
04/08/2016
Last updated
09/16/2022
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