Organization Active NPI

Third Life Consulting, LLC

  • Community/Behavioral Health Agency
  • Gretna, LA
National Provider Identifier
1164312179
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THIRD LIFE CONSULTING, LLC
Practice address
400 Lapalco Blvd Ste H
Gretna, LA 70056-7372
Phone
(504) 224-0903
NPI assigned
Jul 9, 2025
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Demetrius Rayford, RCPNPI 1437658457
Title
Principal Consultant
Phone
(504) 224-0903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X
Community Health Worker 172V00000X
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

400 Lapalco Blvd Ste H
Gretna, LA 70056-7372

Mailing address

400 Lapalco Blvd Ste H
Gretna, LA 70056-7372
Phone (504) 224-0903

National Provider Directory

National Provider Directory

Locations

400 Lapalco Blvd
Ste H
Gretna, LA 70056
Phone (504) 224-0903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1164312179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAPALCO BLVD STE H",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567372",
            "telephone_number": "504-224-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAPALCO BLVD STE H",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567372",
            "telephone_number": "504-224-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD LIFE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "RAYFORD",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "PRINCIPAL CONSULTANT",
        "authorized_official_telephone_number": "504-224-0903",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.