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

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: July 19, 2026.

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
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

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
4700 WICHERS DR, SUITE 204
MARRERO, LA 70072
Family Medicine
4700 WICHERS DR, SUITE 202
MARRERO, LA 70072
Psychologist
4700 WICHERS DR, SUITE 301
MARRERO, LA 70072
Clinic/Center (Sleep Disorder Diagnostic)
4700 WICHERS DR, SUITE 208
MARRERO, LA 70072
Pharmacy
4700 WICHERS DR, SUITE 100
MARRERO, LA 70072
Social Worker (Clinical)
4700 WICHERS DR, SUITE 301
MARRERO, LA 70072
Clinical Medical Laboratory
4700 WICHERS DR, SUITE 303
MARRERO, LA 70072
Chiropractor
4700 WICHERS DR, SUITE 307
MARRERO, LA 70072
Internal Medicine (Infectious Disease)
4700 WICHERS DR, SUITE 304
MARRERO, LA 70072
Clinic/Center (Multi-Specialty)
4700 WICHERS DR, SUITE 306
MARRERO, LA 70072
Community/Behavioral Health
4700 WICHERS DR, SUITE 206
MARRERO, LA 70072
Psychologist (Counseling)
4700 WICHERS DR, #205
MARRERO, LA 70072
Social Worker
4700 WICHERS DR, STE 105
MARRERO, LA 70072
Community/Behavioral Health
4700 WICHERS DR, SUITE 206
MARRERO, LA 70072
Counselor (Mental Health)
4700 WICHERS DR
MARRERO, LA 70072
Counselor (Mental Health)
4700 WICHERS DR
MARRERO, LA 70072
Social Worker
4700 WICHERS DR
MARRERO, LA 70072
Social Worker
4700 WICHERS DR
MARRERO, LA 70072
Case Manager/Care Coordinator
4700 WICHERS DR, 205
MARRERO, LA 70072
Case Manager/Care Coordinator
4700 WICHERS DR, STE 100
MARRERO, LA 70072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053770685, enumerated as an "organization" on February 10, 2016.

The provider is located at 4700 WICHERS DR SUITE 205 MARRERO, LA 70072 and the phone number is (504) 407-0709.

Community/Behavioral Health with taxonomy code 251S00000X.