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OPEN ARMS BEHAVIORAL SERVICES NPI 1154855591


NPI Information

NPI: 1154855591
Provider Name: OPEN ARMS BEHAVIORAL SERVICES

Doing Business As: OPEN ARMS BEHAVIORAL SERVICES, LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 19D2216726

Address:
630 W CORNERVIEW ST
GONZALES, LA
ZIP 70737
Phone: (225) 647-4105
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OPEN ARMS BEHAVIORAL SERVICES is a mental health (including community mental health center) clinic center in Gonzales, LA. OPEN ARMS BEHAVIORAL SERVICES NPI is 1154855591. The provider is registered as an organization entity type.
The provider Is Doing Business As Open Arms Behavioral Services, Llc.

The provider's business location address is:

630 W CORNERVIEW ST
GONZALES, LA
ZIP 70737-742
Phone: (225) 647-4105
Fax: (866) 234-8190

The provider's authorized official is Demarcus D Patterson .
The authorized official title is Owner and has the following contact phone number (225) 647-4105.

The CLIA number assigned to this NPI record is 19D2216726 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 10/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health2203783205LOUISIANANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11154855591MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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