| Active Intervention, Inc. | |
|
1799 Stumpf Blvd Bldg. 7 Ste. 10 Terrytown LA 70056-3950 | |
| (504) 367-5766 | |
| (504) 367-5755 |
| Full Name | Active Intervention, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1799 Stumpf Blvd, Terrytown, Louisiana |
| Authorized Official Name and Position | Marilyn Mcclelland Thorpe (COUNSELOR) |
| Authorized Official Contact | 5043675766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Intervention, Inc. 1799 Stumpf Blvd Bldg. 7 Ste. 10 Terrytown LA 70056-3950 Ph: (504) 367-5766 | Active Intervention, Inc. 1799 Stumpf Blvd Bldg. 7 Ste. 10 Terrytown LA 70056-3950 Ph: (504) 367-5766 |
| NPI Number | 1104881564 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104881564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2002 (Louisiana) | Primary |
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