Provider Demographics
NPI:1386014678
Name:ELITE BEHAVIORAL HEALTH SERVICE, LLC
Entity Type:Organization
Organization Name:ELITE BEHAVIORAL HEALTH SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRY-HONORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-272-9234
Mailing Address - Street 1:7809 AIRLINE DRIVE
Mailing Address - Street 2:SUITE 304C
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003
Mailing Address - Country:US
Mailing Address - Phone:504-272-9234
Mailing Address - Fax:
Practice Address - Street 1:7809 AIRLINE DRIVE
Practice Address - Street 2:SUITE 304C
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003
Practice Address - Country:US
Practice Address - Phone:504-272-9234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty