Impactbehavior Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMPACTBEHAVIOR HEALTH SERVICES LLC

Practice address

12147 Coursey Blvd
Baton Rouge, LA 70816-4410

Phone

(225) 771-8849

Fax

(225) 771-8876

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Tracy B Clark, BS

Title

Ceo

Phone

(225) 771-8849

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vivian Francisco

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1780057158
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1770959264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12147 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-771-8849",
            "fax_number": "225-771-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12147 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164410",
            "telephone_number": "225-771-8849",
            "fax_number": "225-771-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTBEHAVIOR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-771-8849",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Behavior Health Services LLC
• Impact Behavior Health Services, LLC
• Impact Network, LLC
• Impact Nurse Consulting
• Impact Physical Therapy LLC
• Implied Human Dynamics Personal Care Home
• Improving Minds, LLC
• Ashley Impson
• Zahid Imran, M.D.
• In Caring Hands, Inc

• Community/Behavioral Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, 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 Aug 19, 2015; 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.