Organization
IMPACT BEHAVIOR HEALTH SERVICE
Active
Parent organization
IMPACT BEHAVIOR HEALTH SERVICE
Other names
IMpact Behavior Health Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT BEHAVIOR HEALTH SERVICE
Authorized official
MRS. TRACY ELIZABETH CLARK MASTER (COUNSELOR)
(504) 329-3755
Entity
Organization
Contact information
Practice address
1406 ESPLANADE AVE, NEW ORLEANS, LA 70116-1803
(504) 304-4097
(504) 218-7962
Mailing address
1406 ESPLANADE AVE, NEW ORLEANS, LA 70116-1803
(504) 304-4097
(504) 218-7962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
11/26/2015
Last updated
11/26/2015
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