Organization Active NPI

Priority Behavioral Health LLC

  • Community/Behavioral Health Agency
  • New Iberia, LA
National Provider Identifier
1255369823
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1119369 Issued in LA
Legal business name
PRIORITY BEHAVIORAL HEALTH LLC
Practice address
115 Hansel St
New Iberia, LA 70560-5039
Phone
(337) 367-7889
Fax
(337) 359-8580
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Aimee Chantelle Broussard, RN, BSNNPI 1710209044
Title
Owner, Ceo
Phone
(337) 367-7889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1119369 LA Primary

Addresses

Primary practice location

115 Hansel St
New Iberia, LA 70560-5039

Mailing address

PO Box 13904
New Iberia, LA 70562-3904
Phone (337) 367-7889

Other identifiers 1

IdentifierTypeStateIssuer
1119369MedicaidLA

National Provider Directory

National Provider Directory

Locations

115 Hansel St
New Iberia, LA 70560
Phone (337) 364-5309

1614 E Main St
Ste A
New Iberia, LA 70560
Phone (337) 364-4415

115 Hansel St
#A
New Iberia, LA 70560
Phone (337) 367-7889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1255369823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13904",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705623904",
            "telephone_number": "337-367-7889",
            "fax_number": "337-359-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HANSEL ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605039",
            "telephone_number": "337-367-7889",
            "fax_number": "337-359-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "CHANTELLE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "337-367-7889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "1119369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119369",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.