IMPACT BEHAVIORAL
NPI 1053770685
Community/Behavioral Health in Marrero, LA

Q: What is Impact Behavioral's NPI number?

The NPI number for Impact Behavioral is 1053770685. It was assigned to this organization in the NPPES registry on February 10, 2016.

Q: What is Impact Behavioral's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Impact Behavioral was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2016

4700 WICHERS DR, SUITE 205, MARRERO, LA 70072(504) 407-0709(504) 333-6252 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Impact Behavioral NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT BEHAVIORAL (NPI 1053770685) is a healthcare organization registered as a community/behavioral health in Marrero, Louisiana and active in the NPI registry since February 2016. The organization lists Mieshan Madison, Clinician, as its authorized official.

NPPES Registry Identity

NPI1053770685

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameIMPACT BEHAVIORAL

Location Address4700 WICHERS DR, SUITE 205Marrero, LA 70072-3041

Mailing Address4700 Wichers Dr, Suite 205Marrero, LA 70072-3041 · (504) 407-0709 · Fax (504) 333-6252

Phone(504) 407-0709

Fax(504) 333-6252

Organization SubpartNo

Authorized OfficialMieshan MadisonClinician · (504) 394-1774

Enumeration DateFebruary 10, 2016

✔ NPI 1053770685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4700 WICHERS DR, Marrero, LA 70072

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPACT BEHAVIOR HEALTH SERVICES LLC.

Community/Behavioral Health

4700 WICHERS DR, MARRERO SUITE 205B
MARRERO, LA 70072

Jefferson Parish (504) 407-0907

PRECISION FOOT CARE CENTER, LLC

Podiatrist (Foot & Ankle Surgery)

4700 WICHERS DR, SUITE 204
MARRERO, LA 70072

Jefferson Parish (504) 328-0777

MYRON WALKER

Case Manager/Care Coordinator

4700 WICHERS DR
MARRERO, LA 70072

Jefferson Parish (504) 383-7448

LIFELINE HEALTH ESSENTIALS LLC

Durable Medical Equipment & Medical Supplies

4700 WICHERS DR, SUITE 201
MARRERO, LA 70072

Jefferson Parish (504) 758-4220

ANGELA SANDERS BRIDGES RSW, MSW

Social Worker

4700 WICHERS DR
MARRERO, LA 70072

Jefferson Parish (504) 319-1769

LINDA KENNEDY

Counselor (Mental Health)

4700 WICHERS DR
MARRERO, LA 70072

Jefferson Parish (504) 304-4097

NICOLE CHRISTMAS

Social Worker

4700 WICHERS DR
MARRERO, LA 70072

Jefferson Parish (504) 383-7448

CHERRELL LYNETTE THOMPSON

Counselor (Addiction (Substance Use Disorder))

4700 WICHERS DR, STE 100
MARRERO, LA 70072

Jefferson Parish (504) 383-7448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Behavioral's NPI number?

The NPI number for Impact Behavioral is 1053770685. It was assigned to this organization in the NPPES registry on February 10, 2016.

Where is Impact Behavioral located?

Impact Behavioral is located at 4700 Wichers Dr Suite 205, Marrero, LA 70072. The listed phone number is (504) 407-0709.

What is Impact Behavioral's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Impact Behavioral was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.