Provider Demographics
NPI:1821319286
Name:INTEGRATED BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:INTEGRATED BEHAVIORAL HEALTH
Other - Org Name:INTEGRATED BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PESCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-605-4986
Mailing Address - Street 1:400 POYDRAS STREET
Mailing Address - Street 2:SUITE 1940 & 1950
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3245
Mailing Address - Country:US
Mailing Address - Phone:504-322-3837
Mailing Address - Fax:504-322-3847
Practice Address - Street 1:400 POYDRAS STREET
Practice Address - Street 2:SUITE 1940 & 1950
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3245
Practice Address - Country:US
Practice Address - Phone:504-322-3837
Practice Address - Fax:504-322-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202.4252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty