Provider Demographics
NPI:1497291199
Name:ASSERTIVE ASPIRATIONS BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ASSERTIVE ASPIRATIONS BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/ ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-625-7467
Mailing Address - Street 1:1403 METRO DR STE C1
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3446
Mailing Address - Country:US
Mailing Address - Phone:318-625-7467
Mailing Address - Fax:318-625-7420
Practice Address - Street 1:1403 METRO DR
Practice Address - Street 2:SUITE C-1
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3454
Practice Address - Country:US
Practice Address - Phone:318-625-7420
Practice Address - Fax:318-625-7467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health