| Life Enhancement And Family Services, Llc | |
|
1799 Stumpf Blvd Ste 10 Terrytown LA 70056-3950 | |
| (504) 430-6903 | |
| Not Available |
| Full Name | Life Enhancement And Family Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1799 Stumpf Blvd Ste 10, Terrytown, Louisiana |
| Authorized Official Name and Position | Tanisha Peterson (OWNER) |
| Authorized Official Contact | 5044306903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement And Family Services, Llc 2350 Park Place Dr Apt 51 Gretna LA 70056-3074 Ph: (504) 430-6903 | Life Enhancement And Family Services, Llc 1799 Stumpf Blvd Ste 10 Terrytown LA 70056-3950 Ph: (504) 430-6903 |
| NPI Number | 1538720198 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538720198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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