LONG BRANCH RETREAT & RECOVERY CENTER LLC (NPI# 1245754894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245754894 |
| Entity Type | Organization |
| Organization Name | LONG BRANCH RETREAT & RECOVERY CENTER LLC |
| Other Organization Name | LONGBRANCH RECOVERY CENTER |
| Practice Address |
21516 Highway 36 Abita Springs LA 70420-3906 |
| Practice Telephone | (504) 214-4000 |
| Practice Fax Number | 5042658605 |
| Mailing Telephone | 5042679960 |
| Mailing Fax Number | 5042679967 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2020-08-18 |
| 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 | 273R00000X | Psychiatric Unit | Hospital Units | ||
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Longbranch Recovery Center | Doing Business As Name - Organization |
| Street Address |
21516 HIGHWAY 36 |
| City | ABITA SPRINGS |
| State | LA |
| Zip Code | 70420-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879078 | Emily Elizabeth Meyers | Counselor | 21516 Highway 36, Abita Springs, LA 70420-3906 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700630 | Kristin Leonie Mayer Couch | Registered Nurse | 25010 Burvant Street, Abita Springs, LA 70420 | 2020-11-08 |
| 1679174452 | Donna Shartil Golman | Driver | 73350 Birdie Street, Abita Springs, LA 70420 | 2020-11-06 |
| 1528510351 | Simone Delaune Nolan | Counselor | 302 Lei Lani Ave, Abita Springs, LA 70420 | 2016-10-27 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1225243157 | Michael Joseph Petrosky | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2007-05-14 |
| 1477698801 | Steven E Pfingsten | Dentist | 71623 Hickory Street, Abita Springs, LA 70420 | 2007-02-21 |
| 1609879659 | Glenda Carol Breakfell Petroff | Nurse Practitioner | 22070 Highway 59, Abita Springs, LA 70420 | 2005-05-23 |
| 1235464488 | Abita Chiropractic LLC | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2009-10-06 |
| 1588721179 | Louis P. Nogues, IIi, Dds, A Professional Corp. | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-01-02 |
| 1982807632 | Nicole Suberville Wascom | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-06-08 |
| Find all providers in zip 70420 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1215550736 | Cataldie Publishing LLC | Substance Abuse Rehabilitation Facility | 349 Highway 61, Jackson, LA 70748-4218 | 2020-05-19 |
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
| 1801430962 | Baton Rouge Recovery Health LLC | Substance Abuse Rehabilitation Facility | 3600 Florida Blvd Ste 4t, Baton Rouge, LA 70806-3842 | 2019-11-01 |
| 1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
| 1518424258 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4330 Loveland St Ste A, Metairie, LA 70006-4179 | 2019-03-01 |
| 1346707080 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave Ste A&b, Baton Rouge, LA 70808-7204 | 2019-03-01 |
| 1528525268 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy Ste C110, Lafayette, LA 70508-6937 | 2019-03-01 |
| Find all providers with the same taxonomy | ||||
| City | ABITA SPRINGS |
| Zip Code | 70420 |
Please comment or provide details below to improve the information on LONG BRANCH RETREAT & RECOVERY CENTER LLC.
| 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.