| Therapeutic Refuge, Llc | |
|
103 Gisele St New Roads LA 70760-2716 | |
| (225) 323-8180 | |
| Not Available |
| Full Name | Therapeutic Refuge, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 Gisele St, New Roads, Louisiana |
| Authorized Official Name and Position | Joshua A Primeaux (OWNER) |
| Authorized Official Contact | 2257186831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Refuge, Llc 13920 Ventress Rd Ventress LA 70783-4001 Ph: (225) 718-6831 | Therapeutic Refuge, Llc 103 Gisele St New Roads LA 70760-2716 Ph: (225) 323-8180 |
| NPI Number | 1205301413 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205301413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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