Healthcare Provider Details

I. General information

NPI: 1518316496
Provider Name (Legal Business Name): QUANS BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BARROW ST STE 301
HOUMA LA
70360-4764
US

IV. Provider business mailing address

PO BOX 2708
LA PLACE LA
70069-2708
US

V. Phone/Fax

Practice location:
  • Phone: 985-746-5900
  • Fax: 985-746-5901
Mailing address:
  • Phone: 985-746-5900
  • Fax: 985-746-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAQUANA MASON
Title or Position: CEO
Credential:
Phone: 504-402-7122