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IMPACT BEHAVIOR HEALTH SERVICES LLC NPI 1871952184


NPI Information

NPI: 1871952184
Provider Name: IMPACT BEHAVIOR HEALTH SERVICES, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
12147 COURSEY BLVD
SUITE B
BATON ROUGE, LA
ZIP 70816
Phone: (225) 771-8849
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IMPACT BEHAVIOR HEALTH SERVICES, LLC is a community behavioral health in Baton Rouge, LA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. IMPACT BEHAVIOR HEALTH SERVICES, LLC NPI is 1871952184. The provider is registered as an organization entity type.

The provider's business location address is:

12147 COURSEY BLVD
SUITE B
BATON ROUGE, LA
ZIP 70816-410
Phone: (225) 771-8849
Fax: (225) 771-8876

The provider's authorized official is John A Clark .
The authorized official title is Ceo and has the following contact phone number (504) 304-4097.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 11/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthLOUISIANAYes

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: 11/14/2023

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