Organization
LIFE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE VILTZ LPC (OWNER)
(337) 212-7701
Entity
Organization
Contact information
Practice address
219 E VEROT SCHOOL RD, LAFAYETTE, LA 70508-3311
(337) 212-7701
Mailing address
219 E VEROT SCHOOL RD, LAFAYETTE, LA 70508-3311
(337) 212-7701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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