National Provider Identifier Database

SANCTUARY LOUISIANA LLC
Rehabilitation, Substance Use Disorder


Contact Information

SANCTUARY LOUISIANA LLC
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA70650-9998
Phone: 337-936-9197
Fax: 337-588-4179
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Addiction (Substance Use Disorder) 101YA0400X
Addiction Medicine 207RA0401X
General Practice 208D00000X
Professional 101YP2500X
Psychiatric/Mental Health 363LP0808X
Rheumatology 207RR0500X

* Indicates primary specialty

NPI Profile & details for SANCTUARY LOUISIANA LLC

NPI Number 1982215851
Legal business name
LBN
SANCTUARY LOUISIANA LLC
Authorized official KELVIN SMITH - (ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/13/2020
Last updated 08/29/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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