| Sanctuary Counseling Services Llc | |
|
1500 Lafayette St Ste 156 Gretna LA 70053-5778 | |
| (504) 608-4769 | |
| (504) 336-3418 |
| Full Name | Sanctuary Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1500 Lafayette St Ste 156, Gretna, Louisiana |
| Authorized Official Name and Position | Morgan Lynne Wangerin (CEO/LPC-S) |
| Authorized Official Contact | 5043171038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Counseling Services Llc 1500 Lafayette St Ste 156 Gretna LA 70053-5778 Ph: (504) 608-4769 | Sanctuary Counseling Services Llc 1500 Lafayette St Ste 156 Gretna LA 70053-5778 Ph: (504) 608-4769 |
| NPI Number | 1619432788 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619432788 | NPI | - | NPPES |
| 3950405 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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