Organization · NPI-2

Active Recovery LLC

Counselor, Addiction (Substance Use Disorder) · Shreveport, LA

NPI number1285998716
StatusActive
Last updated in NPPESOct 24, 2025

Details

NPI
1285998716
Entity type
Organization (NPI-2)
Legal business name
Active Recovery LLC
Organization subpart
No
Enumeration date
Jun 29, 2012
Certification date
Oct 24, 2025
Last updated
Oct 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LA1454LAYes
251S00000X Community/Behavioral HealthLPC LMHP 2785LA
101YA0400X Counselor, Addiction (Substance Use Disorder)LAC 896LA

Practice location

3821 Southern Ave
Active Recovery LLC
Shreveport, LA 71106

Phone 318-946-8157 · Fax 318-216-5868

Mailing address

3821 Southern Ave
Shreveport, LA 71106

Phone 318-946-8157 · Fax 318-216-5868

Authorized official

Therese D Schaffner
Ceo
3182101539

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