Healthcare Provider Details

I. General information

NPI: 1386425148
Provider Name (Legal Business Name): NEW LIFE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 COURT ST
PORT ALLEN LA
70767-2747
US

IV. Provider business mailing address

415 COURT ST
PORT ALLEN LA
70767-2747
US

V. Phone/Fax

Practice location:
  • Phone: 225-491-2811
  • Fax:
Mailing address:
  • Phone: 225-491-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS HUNT
Title or Position: OWNER
Credential:
Phone: 225-491-2811