LONGBRANCH OUTPATIENT RECOVERY, LLC (NPI# 1184237653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184237653 |
| Entity Type | Organization |
| Organization Name | LONGBRANCH OUTPATIENT RECOVERY, LLC |
| Practice Address |
701 Metairie Rd Ste 2a301 Metairie LA 70005-4045 |
| Practice Telephone | 5042679960 |
| Practice Fax Number | 5042679969 |
| Mailing Telephone | 5042679960 |
| Mailing Fax Number | 5042679969 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | EMILY ELIZABETH MEYERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9203090541 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Longbranch Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091104 | Longbranch Outpatient Recovery, LLC | Counselor | 701 Metairie Rd, Suite 2a-301, Metairie, LA 70005-4055 | 2017-05-26 |
| Street Address |
701 METAIRIE RD STE 2A301 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063043354 | Katherine Mcguire | Counselor | 701 Metairie Rd Ste 2a301, Metairie, LA 70005-4045 | 2020-01-27 |
| 1710502463 | Alexandra Elise Blitzer | Counselor | 701 Metairie Rd Ste 2a301, Metairie, LA 70005-4045 | 2020-06-09 |
| 1346863339 | John Holland Counce | Counselor | 701 Metairie Rd Ste 2a301, Metairie, LA 70005-4045 | 2020-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567835 | Zen Acupuncture and Pain Management, LLC | Counselor | 3004 19th St, Metairie, LA 70002-4907 | 2017-09-15 |
| 1225576689 | John Antonucci | Counselor | 2420 Athania Pkwy Ste 102, Metairie, LA 70001-1975 | 2017-02-06 |
| 1851777312 | Earnest Airhia | Counselor | 1105 Trudeau Dr, Metairie, LA 70003-5646 | 2015-08-07 |
| 1013256924 | Cynthia Lanza Jacobson | Counselor | 3100 Ridgelake Dr, Suite 110, Metairie, LA 70002-4964 | 2013-02-13 |
| 1811261977 | Melinda Marie Vincent | Counselor | 1901 Airline Dr, Suite B, Metairie, LA 70001-5936 | 2012-03-06 |
| 1992079131 | Carissa Rutherford Mitchell | Counselor | 1901b Airline Dr, Metairie, LA 70001-5936 | 2012-03-06 |
| 1548533805 | Jeny Lynn Williams-rodrigue | Counselor | 2201 Severn Ave Apt H210, Metairie, LA 70001-7619 | 2012-02-17 |
| 1275820896 | Che'vun R Lane | Counselor | 1168 Lake Ave, # 213, Metairie, LA 70005-2400 | 2011-07-03 |
| 1730322595 | Addiction Recovery Resources, Inc. | Counselor | 4933 Wabash Street, Metairie, LA 70001-1031 | 2009-04-09 |
| 1417118928 | Jay A Reine | Counselor | 3616 S I 10 Service Rd W, Suite 200, Metairie, LA 70001-1874 | 2008-06-18 |
| Find all providers in METAIRIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.