=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902743743
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRIDE HEALING AND RECOVERY SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2026
-----------------------------------------------------
Last Update Date | 04/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3419 NW EVANGELINE TRWY STE O
-----------------------------------------------------
City | CARENCRO
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70520-6241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-283-9997
-----------------------------------------------------
Fax | 337-382-8016
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3419 NW EVANGELINE TRWY STE O
-----------------------------------------------------
City | CARENCRO
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70520-6241
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-283-9997
-----------------------------------------------------
Fax | 337-382-8016
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNSELOR/OWNER
-----------------------------------------------------
Name | SCOTTY ANTHONY ARCENEAUX
-----------------------------------------------------
Credential | MS, LPC, LAC, NCC,
-----------------------------------------------------
Telephone | 337-283-9997
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------