Healthcare Provider Details

I. General information

NPI: 1467921163
Provider Name (Legal Business Name): SABRINA D MARSH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 02/10/2023
Certification Date: 02/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7216 OAKPOINT DR
SLIDELL LA
70460-3978
US

IV. Provider business mailing address

7216 OAKPOINT DR
SLIDELL LA
70460-3978
US

V. Phone/Fax

Practice location:
  • Phone: 504-270-6069
  • Fax:
Mailing address:
  • Phone: 504-270-6069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: