Active NPI
Priority Behavioral Health LLC
- Community/Behavioral Health Agency
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1119369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aimee Chantelle Broussard, RN, BSN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1119369 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Broussard, LA
- NPI 1710209044
-
- Clinical Social Worker
- New Iberia, LA
- NPI 1093964991
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.