| Impact Behavioral | |
|
4700 Wichers Dr Suite 205 Marrero LA 70072-3041 | |
| (504) 407-0709 | |
| (504) 333-6252 |
| Full Name | Impact Behavioral |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4700 Wichers Dr, Marrero, Louisiana |
| Authorized Official Name and Position | Mieshan Madison (CLINICIAN) |
| Authorized Official Contact | 5043941774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavioral 4700 Wichers Dr Suite 205 Marrero LA 70072-3041 Ph: (504) 407-0709 | Impact Behavioral 4700 Wichers Dr Suite 205 Marrero LA 70072-3041 Ph: (504) 407-0709 |
| NPI Number | 1053770685 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053770685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
Impact Behavior Health Services Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Wichers Dr, Marrero Suite 205b, Marrero, LA 70072 Phone: 504-407-0907 Fax: 504-333-6252 | |
Green Holistic Recovery, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4520 Wichers Drive Suite 202, Marrero, LA 70072 Phone: 504-606-9316 Fax: 504-383-0937 | |
Jeffcare West Jefferson Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5001 Westbank Expy, Suite 100, Marrero, LA 70072 Phone: 504-349-8833 Fax: 504-838-5714 | |
Zig N Zag Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3029 Cornell Dr, Dr, Marrero, LA 70072 Phone: 337-443-8427 | |
G. E. Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 Cedar Creek St, Marrero, LA 70072 Phone: 504-428-4000 | |
Impact Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Wichers Dr Ste 205, Marrero, LA 70072 Phone: 504-407-0709 |