Healthcare Provider Details

I. General information

NPI: 1427590801
Provider Name (Legal Business Name): INKREASING KARE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 10/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 VENICE AVE
HAMMOND LA
70403-5454
US

IV. Provider business mailing address

1008 VENICE AVE
HAMMOND LA
70403-5454
US

V. Phone/Fax

Practice location:
  • Phone: 985-687-4703
  • Fax: 985-662-3829
Mailing address:
  • Phone: 985-687-4703
  • Fax: 985-662-3829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARET PROVOST
Title or Position: OWNER/ADMINISTRATOR
Credential: MSW
Phone: 985-687-4703