| Open Arms Behavioral Services, Llc | |
|
630 W Cornerview St Gonzales LA 70737-2742 | |
| (225) 647-4105 | |
| (866) 234-8190 |
| Full Name | Open Arms Behavioral Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 W Cornerview St, Gonzales, Louisiana |
| Authorized Official Name and Position | Demarcus D Patterson (OWNER) |
| Authorized Official Contact | 2256474105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Arms Behavioral Services, Llc Po Box 359 Gonzales LA 70707-0359 Ph: (225) 647-4105 | Open Arms Behavioral Services, Llc 630 W Cornerview St Gonzales LA 70737-2742 Ph: (225) 647-4105 |
| NPI Number | 1154855591 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 4880022250 |
|---|---|
| Medicare Enrollment ID | O20200318000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154855591 | NPI | - | NPPES |
| 1154855591 | Medicaid | LA |
| Provider Name | Lajuan B Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689004145 PECOS PAC ID: 4880944685 Enrollment ID: I20180828003773 |
| Provider Name | Aleshia Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467818880 PECOS PAC ID: 1658705991 Enrollment ID: I20191219002424 |
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