| Divine Impact Behavioral Support Services Llc | |
|
1799 Stumpf Blvd Building 5 Suite 1 Terrytown LA 70056-3950 | |
| (504) 330-0788 | |
| Not Available |
| Full Name | Divine Impact Behavioral Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1799 Stumpf Blvd, Terrytown, Louisiana |
| Authorized Official Name and Position | Patrice Noel Pasley (OWNER) |
| Authorized Official Contact | 5043300788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Impact Behavioral Support Services Llc 1799 Stumpf Blvd Building 5 Suite 1 Terrytown LA 70056-3950 Ph: (504) 330-0788 | Divine Impact Behavioral Support Services Llc 1799 Stumpf Blvd Building 5 Suite 1 Terrytown LA 70056-3950 Ph: (504) 330-0788 |
| NPI Number | 1457710493 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457710493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 41056835 (Louisiana) | Primary |
Loving Heart And Mind Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1799 Stumpf Blvd Bldg 7, Terrytown, LA 70056 Phone: 504-919-1655 | |
Active Intervention, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1799 Stumpf Blvd, Bldg. 7 Ste. 10, Terrytown, LA 70056 Phone: 504-367-5766 Fax: 504-367-5755 | |
Maison Vie: A Multi-therapeutic Family Service Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1799 Stumpf Blvd, 3-2, Terrytown, LA 70056 Phone: 504-452-5937 Fax: 504-394-5012 | |
Wisdom Initiative And Strategic Empowerment Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1799 Stumpf Blvd Bldg 7, Terrytown, LA 70056 Phone: 504-729-0031 | |
City Medical Management Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1799 Stumpf Blvd, Building 7, Suite 6, Terrytown, LA 70056 Phone: 236-590-6871 | |
Life Enhancement And Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1799 Stumpf Blvd Ste 10, Terrytown, LA 70056 Phone: 504-430-6903 |