| Epiphany Therapeutic Services, Llc | |
|
2080 Highway 1 Raceland LA 70394-3637 | |
| (985) 226-5677 | |
| Not Available |
| Full Name | Epiphany Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2080 Highway 1, Raceland, Louisiana |
| Authorized Official Name and Position | Stacey Guidry (OWNER) |
| Authorized Official Contact | 9852265677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Therapeutic Services, Llc 2080 Highway 1 Raceland LA 70394-3637 Ph: (985) 226-5677 | Epiphany Therapeutic Services, Llc 2080 Highway 1 Raceland LA 70394-3637 Ph: (985) 226-5677 |
| NPI Number | 1982902193 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982902193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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