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General NPI Number Information
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NPI Number | 1083837579
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Entity Type | Organization
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Legal Business Name | MAXIMA GROUP BEHAVIORAL SERVICES INC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1901 WESTBANK EXPY SUITE 600
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City | HARVEY
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State | LA
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Zip | 70058-4366
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Country | US
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Telephone | 504-227-9998
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Fax | 504-227-0722
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Provider Business Mailing Address
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Address Line | 1901 WESTBANK EXPY SUITE 600
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City | HARVEY
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State | LA
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Zip | 70058-4366
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Country | US
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Telephone | 504-227-9998
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Fax | 504-227-0722
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS MARTHA ANN LEE
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Credential |
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Telephone | 504-227-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 12508
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 12506
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License Number State | LA
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