Saint Raphael's Refuge, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4478 Issued in LA

Legal business name

SAINT RAPHAEL'S REFUGE, LLC

Practice address

1155 Hodges St
Lake Charles, LA 70601-5215

Phone

(337) 304-2387

NPI assigned

Apr 11, 2017

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Suzanne Kerlegon, LPC-SNPI 1457649915

Title

Owner

Phone

(337) 304-2387

Specialties & licenses 1

Addresses

Locations

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.

• Courtney Suzanne Kerlegon, LPC

  • Professional Counselor
  • Lake Charles, LA
  • NPI 1457649915
  Authorized official Same address or phone

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1174057608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015215",
            "telephone_number": "337-304-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015215",
            "telephone_number": "337-304-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT RAPHAEL'S REFUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "KERLEGON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-304-2387",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.