Optimal Behavioral Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC

Practice address

4700 Wichers Dr
Suite 206
Marrero, LA 70072-3041

Phone

(919) 260-4757

Fax

(888) 400-9860

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ndidi Adeyanju, PHD

Title

Executive Director

Phone

(919) 260-4757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1508280231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723041",
            "telephone_number": "919-260-4757",
            "fax_number": "888-400-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR",
            "address_2": "SUITE 206",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723041",
            "telephone_number": "919-260-4757",
            "fax_number": "888-400-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "ADEYANJU",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-260-4757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Marrero, LA
• Providers in Marrero, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.