| Impact Behavior Health Service | |
|
1406 Esplanade Ave New Orleans LA 70116-1803 | |
| (504) 304-4097 | |
| (504) 218-7962 |
| Full Name | Impact Behavior Health Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1406 Esplanade Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Tracy Elizabeth Clark (COUNSELOR) |
| Authorized Official Contact | 5043293755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavior Health Service 1406 Esplanade Ave New Orleans LA 70116-1803 Ph: (504) 304-4097 | Impact Behavior Health Service 1406 Esplanade Ave New Orleans LA 70116-1803 Ph: (504) 304-4097 |
| NPI Number | 1669846879 |
|---|---|
| Provider Enumeration Date | 11/26/2015 |
| Last Update Date | 11/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669846879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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