Provider Demographics
NPI:1336500743
Name:ALL PRO BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ALL PRO BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-314-1737
Mailing Address - Street 1:332 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-5420
Mailing Address - Country:US
Mailing Address - Phone:504-314-1737
Mailing Address - Fax:
Practice Address - Street 1:1340 W TUNNEL BLVD STE 230
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:504-314-1737
Practice Address - Fax:985-231-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203783561251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)