Longbranch Outpatient Recovery, LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

LONGBRANCH OUTPATIENT RECOVERY, LLC

Practice address

2329 Edenborn Ave
Metairie, LA 70001-1815

Phone

(504) 635-3535

Fax

(985) 273-3869

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Emily Elizabeth Meyers

Title

Ceo

Phone

(920) 309-0541

Specialties & licenses 2

Addresses

Other names 1

• Longbranch Wellness Center Doing business as

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.

• Longbranch Outpatient Recovery, LLC

  • Recovery Care Clinic/Center
  • Metairie, LA
  • NPI 1578091104
  NPD tax ID
• Longbranch Outpatient Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Jonesboro, AR
  • NPI 1184237653
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beau J Pepin, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Covington, LA
  • NPI 1043009509
  NPD (past)

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"
        }
    ]
}

• Amy Schulin Long, FNP-C
• Gregory Long
• Jermaine Long
• Megan Nicole Long, LPC
• Longbranch Outpatient Recovery, LLC
• Michele Theresa Longo, M.D.
• Eric Daniel Lonseth, MD
• Lopez Addison Therapy, LLC
• Belen Lopez-Addison, SLP
• Angelina A Lopez

• Recovery Care Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Recovery Care Clinic/Center in Louisiana

• 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.