# THERAPEUTIC BEHAVIORAL SERVICESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821481714
- **Authorized official:** DURRELL JEFFERY (C.E.O.)
- **Authorized official phone:** (940) 735-0604

## Contact information

- **Practice address:** 605 SILVER LILLY LN, MARRERO, LA 70072-1426
- **Practice address phone:** (940) 735-0604
- **Mailing address:** 605 SILVER LILLY LN, MARRERO, LA 70072-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | LA | — |
| 302R00000X | Health Maintenance Organization | — | LA | Yes |
| 305R00000X | Preferred Provider Organization | — | LA | — |
| 305S00000X | Point of Service | — | LA | — |

## Other

- **Enumeration date:** 03/17/2015
- **Last updated:** 03/17/2015