Provider Demographics
NPI:1356183750
Name:ENHANCE HEALTH CARE SERVICES BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:ENHANCE HEALTH CARE SERVICES BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-450-3216
Mailing Address - Street 1:38058 HIGHWAY 621 STE B
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-6072
Mailing Address - Country:US
Mailing Address - Phone:225-402-2091
Mailing Address - Fax:225-402-2117
Practice Address - Street 1:38058 HIGHWAY 621 STE B
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-6072
Practice Address - Country:US
Practice Address - Phone:225-402-2091
Practice Address - Fax:225-402-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)