Pure, Life, Legacy Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PURE, LIFE, LEGACY COUNSELING SERVICES, LLC

Practice address

7240 Gentry Rd
Marrero, LA 70072-4576

Phone

(504) 427-9305

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Briyon Green

Title

Managing Member

Phone

(504) 427-9305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1740974559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 GENTRY RD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 GENTRY RD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724576",
            "telephone_number": "504-427-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE, LIFE, LEGACY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRIYON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "504-427-9305"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Puente, MD
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• Allison K Puneky, CRNA
• Jimmy Quach, PHARM. D
• Craig John Quintal, O.D.
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• Carlnetta Rabb, FNP

• Community/Behavioral Health Agency in Marrero, LA
• Providers in Marrero, 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 Jun 5, 2023; 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.