Provider Demographics
NPI:1689713489
Name:QUEST BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:QUEST BEHAVIORAL HEALTH, LLC
Other - Org Name:HUGHES AND BREAUX INVESTMENTS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-362-8995
Mailing Address - Street 1:PO BOX 83851
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-3851
Mailing Address - Country:US
Mailing Address - Phone:225-362-8995
Mailing Address - Fax:225-928-9638
Practice Address - Street 1:102 HIGHLAND PARK PLZ
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7116
Practice Address - Country:US
Practice Address - Phone:985-871-7691
Practice Address - Fax:985-871-7693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA9043OtherOCCUPATIONAL LICENSE
LA9043OtherOCCUPATIONAL LICENSE