Healthcare Provider Details

I. General information

NPI: 1114655834
Provider Name (Legal Business Name): TRUEFREEDOM RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19344 N 10TH ST
COVINGTON LA
70433-8877
US

IV. Provider business mailing address

19344 N 10TH ST
COVINGTON LA
70433-8877
US

V. Phone/Fax

Practice location:
  • Phone: 985-276-4165
  • Fax: 985-400-2333
Mailing address:
  • Phone: 985-276-4165
  • Fax: 985-400-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA WARNER
Title or Position: ADMINISTRATOR
Credential:
Phone: 985-276-4165