Provider Demographics
NPI: | 1023354883 |
---|---|
Name: | BEHAVIORAL HEALTH OPTIONS LLC |
Entity type: | Organization |
Organization Name: | BEHAVIORAL HEALTH OPTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/ PRACTITIONER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | REBECCA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | THERIOT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | APRN |
Authorized Official - Phone: | 337-212-9881 |
Mailing Address - Street 1: | PO BOX 1002 |
Mailing Address - Street 2: | |
Mailing Address - City: | CARENCRO |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70520-1002 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 337-896-7718 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 800 KALISTE SALOOM RD |
Practice Address - Street 2: | |
Practice Address - City: | LAFAYETTE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70508-4210 |
Practice Address - Country: | US |
Practice Address - Phone: | 337-233-2400 |
Practice Address - Fax: | 337-232-3656 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-12-26 |
Last Update Date: | 2020-08-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Single Specialty |