Healthcare Provider Details
I. General information
NPI: 1821911454
Provider Name (Legal Business Name): BLESSED ASSURANCE PSYCHIATRIC AND BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 W AIRLINE HWY STE F
LA PLACE LA
70068-3790
US
IV. Provider business mailing address
2824 CONCORDIA DR
LA PLACE LA
70068-2214
US
V. Phone/Fax
- Phone: 504-275-0052
- Fax:
- Phone: 504-239-0863
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEORGIA KELLER
VERRET
Title or Position: OWNER/RENDERING PROVIDER
Credential: PMHNP-BC
Phone: 504-239-0863