Organization
EPIPHANY THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GUIDRY LPC (OWNER)
(985) 226-5677
Entity
Organization
Contact information
Practice address
2080 HIGHWAY 1, RACELAND, LA 70394-3637
(985) 226-5677
Mailing address
2080 HIGHWAY 1, RACELAND, LA 70394-3637
(985) 226-5677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/11/2011
Last updated
02/21/2012
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