Abundant Health, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Harvey, LA. Organization (NPI-2).
NPI number1588023402
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1588023402
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Health, INC.
- Organization subpart
- No
- Enumeration date
- Feb 19, 2016
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | LA |
Practice location
1901 Manhattan BlvdBuilding F, Suite 204
Harvey, LA 70058-3582
Phone 504-708-1738 · Fax 504-603-2662
Mailing address
1901 Manhattan BlvdBuilding F, Suite 204
Harvey, LA 70058-3582
Phone 504-708-1738 · Fax 504-603-2662
Authorized official
Patrice Allen
Ceo
5047081738
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