LONGBRANCH OUTPATIENT RECOVERY, LLC (NPI# 1578091104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578091104 |
| Entity Type | Organization |
| Organization Name | LONGBRANCH OUTPATIENT RECOVERY, LLC |
| Other Organization Name | LONGBRANCH WELLNESS CENTER |
| Practice Address |
701 Metairie Rd Suite 2a-301 Metairie LA 70005-4055 |
| Practice Telephone | 5042679960 |
| Practice Fax Number | 5042679979 |
| Mailing Telephone | 5042679960 |
| Mailing Fax Number | 5042679979 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | EMILY ELIZABETH MEYERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9203090541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| 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 | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Longbranch Wellness Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 406 N. Flordia Street, Suite #1, Covington, LA 70433 | 5046353535 | 5042679979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237653 | Longbranch Outpatient Recovery, LLC | Counselor | 701 Metairie Rd Ste 2a301, Metairie, LA 70005-4045 | 2020-08-25 |
| Street Address |
701 METAIRIE RD SUITE 2A-301 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244019 | Patrick H Waring | Anesthesiology | 701 Metairie Rd, Unit 2a, Suite 310, Metairie, LA 70005-4050 | 2005-06-09 |
| 1124554829 | Celeste Anastasia Block | Dentist | 701 Metairie Rd, Suite 1a-204, Metairie, LA 70005-4050 | 2017-05-02 |
| 1346471497 | Pamela R. Shaw, LLC | Dentist | 701 Metairie Rd, Metairie, LA 70005-4050 | 2009-08-06 |
| 1760637151 | Carol Ann Stuckey | Dentist | 701 Metairie Rd, Suite 1a-204, Metairie, LA 70005-4050 | 2008-11-26 |
| 1316158470 | Marguerite Demarest | Counselor | 701 Metairie Rd, Suite 2a-203, Metairie, LA 70005-4050 | 2007-05-24 |
| 1629292941 | Dimitri Eye Care | Optometrist | 701 Metairie Rd, Suite 205, Metairie, LA 70005-4050 | 2007-04-11 |
| 1922132588 | Sharon Southard Mole | Counselor | 701 Metairie Rd, Suite 2a 203, Metairie, LA 70005 | 2007-03-15 |
| 1295862886 | Noel Pilie | Dentist | 701 Metairie Rd, Ste 2a-212, Metairie, LA 70005-4050 | 2007-02-28 |
| 1457403545 | Janine G Natal | Nurse Practitioner | 701 Metairie Rd, Suite 2a202, Metairie, LA 70005-4050 | 2007-01-17 |
| 1598816696 | David Allen Myers | Internal Medicine | 701 Metairie Rd, Ste. 2a-202, Metairie, LA 70005-4050 | 2007-01-15 |
| Find all providers in the same location | ||||
| 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 | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497208193 | Priority Care | Clinic/Center | 530 Lakeland Dr Ste 2b, Baton Rouge, LA 70802-4441 | 2016-07-28 |
| 1588930333 | Capital Area Human Services District | Clinic/Center | 5154 Burnett Road, St. Francisville, LA 70705 | 2012-03-27 |
| 1043585920 | Capital Area Human Services District | Clinic/Center | 12080 Marston Street, Clinton, LA 70720 | 2012-03-12 |
| 1508144502 | Capital Area Human Services District | Clinic/Center | 2751 Wooddale Blvd Ste A, Baton Rouge, LA 70805-7567 | 2011-07-26 |
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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.