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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVINE IMPACT BEHAVIORAL SUPPORT SERVICES LLC

Active Organization

DIVINE IMPACT BEHAVIORAL SUPPORT SERVICES LLC is a Community/Behavioral Health organization located in TERRYTOWN, Louisiana. NPI 1457710493 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · TERRYTOWN, LA

Registration Details

NPI Number
1457710493
Provider Type
Organization
NPI Issued
Feb 18, 2016 (10.496572106714 yrs)
Last Updated
Feb 18, 2016
License
41056835 (LA)

Practice Information

Address
1799 STUMPF BLVD
BUILDING 5 SUITE 1
TERRYTOWN, LA, 700563950
Browse LA providers · Browse ZIP 70056
Phone
5043300788
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in TERRYTOWN, LA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.