| Assertive Aspirations Behavioral Health Services, Llc | |
|
1403 Metro Dr Ste G Alexandria LA 71301-3446 | |
| (318) 625-7420 | |
| (318) 625-7467 |
| Full Name | Assertive Aspirations Behavioral Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1403 Metro Dr Ste G, Alexandria, Louisiana |
| Authorized Official Name and Position | Brinda Jones (PROGRAM DIRECTOR/ ADMINISTRATOR) |
| Authorized Official Contact | 3186257467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assertive Aspirations Behavioral Health Services, Llc 1403 Metro Dr Ste C1 Alexandria LA 71301-3446 Ph: (318) 625-7467 | Assertive Aspirations Behavioral Health Services, Llc 1403 Metro Dr Ste G Alexandria LA 71301-3446 Ph: (318) 625-7420 |
| NPI Number | 1497291199 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 0345504460 |
|---|---|
| Medicare Enrollment ID | O20180925002688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497291199 | NPI | - | NPPES |
| Provider Name | Melinda D Rachal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275639676 PECOS PAC ID: 3577534346 Enrollment ID: I20040804001099 |
| Provider Name | Bryan Bolwahnn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043247331 PECOS PAC ID: 6406822527 Enrollment ID: I20040909000280 |
| Provider Name | Maegan Montrelle Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568991065 PECOS PAC ID: 9032489026 Enrollment ID: I20170725000463 |
| Provider Name | Harvey Norris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467724294 PECOS PAC ID: 8123288818 Enrollment ID: I20200226000939 |
| Provider Name | Marguerite R Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174005078 PECOS PAC ID: 3577977743 Enrollment ID: I20210129000351 |
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