Organization
PRIORITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE CHANTELLE BROUSSARD RN, BSN (OWNER, CEO)
(337) 367-7889
Entity
Organization
Contact information
Practice address
115 HANSEL ST, NEW IBERIA, LA 70560-5039
(337) 367-7889
(337) 359-8580
Mailing address
PO BOX 13904, NEW IBERIA, LA 70562-3904
(337) 367-7889
(337) 359-8580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1119369
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119369
—
LA
Enumeration date
06/30/2006
Last updated
03/16/2012
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