Healthcare Provider Details

I. General information

NPI: 1902743743
Provider Name (Legal Business Name): PRIDE HEALING AND RECOVERY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3419 NW EVANGELINE TRWY STE O-31
CARENCRO LA
70520-6241
US

IV. Provider business mailing address

3419 NW EVANGELINE TRWY STE O-31
CARENCRO LA
70520-6241
US

V. Phone/Fax

Practice location:
  • Phone: 337-283-9997
  • Fax: 337-382-8016
Mailing address:
  • Phone: 337-283-9997
  • Fax: 337-382-8016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTTY ANTHONY ARCENEAUX
Title or Position: COUNSELOR/OWNER
Credential: MS, LPC, LAC, NCC,
Phone: 337-283-9997