NPIMap

Organization Active NPI

Longbranch Outpatient Recovery, LLC

Doing business as Longbranch Wellness Center

  • Recovery Care Clinic/Center
  • Metairie, LA
National Provider Identifier
1790508372
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
LONGBRANCH OUTPATIENT RECOVERY, LLC
Doing business as
Longbranch Wellness Center
Practice address
2329 Edenborn Ave
Metairie, LA 70001-1815
Phone
(504) 635-3535
Fax
(985) 273-3869
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Emily Elizabeth MeyersNPI 1255879078
Title
Ceo
Phone
(920) 309-0541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2329 Edenborn Ave
Metairie, LA 70001-1815

Mailing address

2329 Edenborn Ave
Metairie, LA 70001-1815
Phone (504) 635-3535

Other practice location 1

335 W Parker Rd
Jonesboro, AR 72404-8409
Phone (870) 261-9770

Other practice location 2

201 Holiday Blvd
Covington, LA 70433-5088
Phone (504) 635-3535

Other names 1

  • Longbranch Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longbranch Outpatient Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 Holiday Blvd
Covington, LA 70433
Phone (504) 635-3535

Practitioners & affiliated clinicians

Practitioners 2

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1790508372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011815",
            "telephone_number": "504-635-3535",
            "fax_number": "985-273-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011815",
            "telephone_number": "504-635-3535",
            "fax_number": "985-273-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 W Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724048409",
            "country_code": "US",
            "telephone_number": "870-261-9770",
            "fax_number": "985-273-3869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Holiday Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335088",
            "country_code": "US",
            "telephone_number": "504-635-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGBRANCH OUTPATIENT RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-309-0541"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longbranch Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.