Organization · Type 2 NPI

Impact Behavior Health Service

Community/Behavioral Health Agency · New Orleans, LA

NPI number 1669846879 Active

Practice location

1406 Esplanade Ave
New Orleans, LA 70116-1803

Fax (504) 218-7962

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: 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 suppo…

17 other providers at this address

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NPI record

NPI: 1669846879
Entity type: Organization (Type 2)
Issued: Nov 26, 2015
Last updated: Nov 26, 2015
Status: Active
Subpart: Yes of Impact Behavior Health Service

Other names

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Impact Behavior Health Service · doing business as

Authorized official

Mrs. Tracy Elizabeth Clark, MASTER
Counselor
(504) 329-3755

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669846879

Impact Behavior Health Service's National Provider Identifier is 1669846879, issued on Nov 26, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in New Orleans, LA. The record was last updated on Nov 26, 2015.