Divine Impact Behavioral Support Services LLC
Divine Impact Behavioral Support Services LLC is a Community/Behavioral Health Agency in Terrytown, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.
- Licensed in
- LA
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1799 Stumpf Blvd Bldg 5 Ste 1Terrytown, LA 70056-3950
Phone: (504) 330-0788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 41056835 (LA) |
|---|
Record details
| NPI number | 1457710493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrice Pasley — Owner · (504) 330-0788 |
| NPI enumerated | February 18, 2016 |
| Last updated in NPPES | February 18, 2016 |
| Mailing address | 1799 Stumpf Blvd, Building 5 Suite 1, Terrytown, LA 70056-3950 |
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