MEDICARE: REDEFINE BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1003779604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDEFINE BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	2388 LA 44
Second Line	:
City	:	PAULINA
State	:	LA
Zip	:	70763-2703
Country	:	US
Telephone Number	:	225-535-8375
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 E. ASCENSION ST
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737
Country	:	US
Telephone Number	:	225-400-0000
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACICITIONER/ OWNER
Name	:	MRS. TRINEASE CHANTELE SANDERS
Credential	:	APRN, MSN, PMHNP-BC
Telephone Number	:	225-252-5506

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	04/15/2026

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