| Breath Of Life, Llc | |
|
71667 Leveson St Abita Springs LA 70420-3635 | |
| (985) 264-8089 | |
| Not Available |
| Full Name | Breath Of Life, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 71667 Leveson St, Abita Springs, Louisiana |
| Authorized Official Name and Position | Patricia J Stout (OWNER) |
| Authorized Official Contact | 9852648089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breath Of Life, Llc 71667 Leveson St Abita Springs LA 70420-3635 Ph: (985) 264-8089 | Breath Of Life, Llc 71667 Leveson St Abita Springs LA 70420-3635 Ph: (985) 264-8089 |
| NPI Number | 1104270693 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104270693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3035 (Louisiana) | Primary |
Longbranch Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21516 Highway 36, Abita Springs, LA 70420 Phone: 504-214-4000 Fax: 504-265-8605 |