Provider Demographics
NPI:1003779604
Name:REDEFINE BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:REDEFINE BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACICITIONER/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRINEASE
Authorized Official - Middle Name:CHANTELE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, MSN, PMHNP-BC
Authorized Official - Phone:225-252-5506
Mailing Address - Street 1:2388 LA 44
Mailing Address - Street 2:
Mailing Address - City:PAULINA
Mailing Address - State:LA
Mailing Address - Zip Code:70763-2703
Mailing Address - Country:US
Mailing Address - Phone:225-400-0000
Mailing Address - Fax:
Practice Address - Street 1:711 E. ASCENSION ST
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737
Practice Address - Country:US
Practice Address - Phone:225-400-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-09
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty