| The Grove Of La, Llc | |
| 
					7384 John Leblanc Blvd Sorrento LA 70778-3231  | |
| (225) 330-9328 | |
| Not Available | 
| Full Name | The Grove Of La, Llc | 
|---|---|
| Speciality | Counselor - Professional | 
| Location | 7384 John Leblanc Blvd, Sorrento, Louisiana | 
| Authorized Official Name and Position | Denise A Thibodeaux (OWNER/ CLINICAL DIRECTOR) | 
| Authorized Official Contact | 2253309328 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Grove Of La, Llc 5311 Dijon Dr Ste C Baton Rouge LA 70808-4314 Ph: (225) 330-9328  | The Grove Of La, Llc 7384 John Leblanc Blvd Sorrento LA 70778-3231 Ph: (225) 330-9328  | 
| NPI Number | 1699139329 | 
|---|---|
| Provider Enumeration Date | 04/08/2016 | 
| Last Update Date | 09/16/2022 | 
| Certification Date | 09/16/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699139329 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1505 (Louisiana) | Secondary | 
| 101YP2500X | Counselor - Professional | 4943 (Louisiana) | Primary |