| Violet Behavioral Health Center | |
|
4905 E Judge Perez Dr Violet LA 70092-4001 | |
| (504) 373-0373 | |
| Not Available |
| Full Name | Violet Behavioral Health Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4905 E Judge Perez Dr, Violet, Louisiana |
| Authorized Official Name and Position | Catrice Johnson Daniels (MANAGER AND OWNER/ REGISTERED AGENT) |
| Authorized Official Contact | 5043730373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Violet Behavioral Health Center 4905 E Judge Perez Dr Violet LA 70092-4001 Ph: (504) 373-0373 | Violet Behavioral Health Center 4905 E Judge Perez Dr Violet LA 70092-4001 Ph: (504) 373-0373 |
| NPI Number | 1710352398 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710352398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 42086102K (Louisiana) | Primary |
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