Therapeutic Refuge, LLC

Organization Active NPI Clinical Social Worker · New Roads, LA

NPI 1205301413 · NPPES record last updated Oct 4, 2018

Key facts

NPI
1205301413
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
THERAPEUTIC REFUGE, LLC
Practice address
103 Gisele St
New Roads, LA 70760-2716
Phone
(225) 323-8180
NPI assigned
Oct 4, 2018
Organization subpart
No

Authorized official

Name
Joshua A Primeaux
Title
Owner
Phone
(225) 718-6831

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

103 Gisele St
New Roads, LA 70760-2716

Mailing address

13920 Ventress Rd
Ventress, LA 70783-4001
Phone (225) 718-6831

Other providers in New Roads, LA

All providers in New Roads, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.