OPEN ARMS BEHAVIORAL SERVICES (NPI# 1154855591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154855591 |
Entity Type | Organization |
Organization Name | OPEN ARMS BEHAVIORAL SERVICES |
Other Organization Name | OPEN ARMS BEHAVIORAL SERVICES, LLC |
Practice Address |
630 W Cornerview St Gonzales LA 70737-2742 |
Mailing Address |
Po Box 359 Gonzales LA 70707-0359 |
Practice Telephone | 2256474105 |
Practice Fax Number | 8662348190 |
Mailing Telephone | 2256474105 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2019-10-09 |
Authorized Official Name | DEMARCUS D PATTERSON (OWNER) |
Authorized Official Telephone | 2256474105 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 2203783205 | LA | Agencies |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1154855591 | 05 |
Other Name | Type Code |
---|---|
Open Arms Behavioral Services, LLC | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
108 E Sanders St, Gonzales, LA 707373144 | 2256474105 |
Street Address |
630 W CORNERVIEW ST |
City | GONZALES |
State | LA |
Zip Code | 70737-2742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508307968 | Khadijah Kashay Simmons | Case Manager/Care Coordinator | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2017-03-17 |
1346859584 | Latricia Blain | Counselor | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-07-23 |
1811525454 | Kianna Frank | Counselor | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-03-30 |
1730717315 | Rebecca Ovide | Case Manager/Care Coordinator | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2020-03-30 |
1841708245 | Sumiya Howard | Case Manager/Care Coordinator | 630 W Cornerview St, Gonzales, LA 70737-2742 | 2018-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
Find all providers in zip 70737 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639794183 | Harmony Behavioral Services LLC. | Clinic/Center | 630 W Cornerview St Ste B, Gonzales, LA 70737-2742 | 2020-06-10 |
1073049607 | Vnp Services LLC | Clinic/Center | 42410 Weber City Rd, Gonzales, LA 70737-7725 | 2017-05-02 |
1093883522 | Mmo of Gonzales, LLC | Clinic/Center | 305 South Burnside Ave., Suite D, Gonzales, LA 70737 | 2006-12-01 |
1477661676 | Ascension Wellness Center LLC | Clinic/Center | 2255 S Burnside Ave, Gonzales, LA 70737-4642 | 2006-08-28 |
1730104654 | Capital Area Human Services District | Clinic/Center | 1056 E Worthy St Ste B, Gonzales, LA 70737-4369 | 2006-07-13 |
1922117514 | Parish of Ascension | Clinic/Center | 1112 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2006-08-29 |
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1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
1881201192 | Guiding Light Mental Health Services, LLC | Clinic/Center | 2008 Airline Dr Ste 300-215, Bossier City, LA 71111-2946 | 2020-09-30 |
1619583341 | Resilience Behavioral Healthcare | Clinic/Center | 801 Woodwind Dr, Alexandria, LA 71303-3888 | 2020-09-18 |
1023622032 | Abundance Counseling Service | Clinic/Center | 1500 Lafayette St Ste 150, Gretna, LA 70053-5799 | 2020-09-08 |
1578174314 | Stacy House Counseling | Clinic/Center | 38344 Samuel Tillotson Dr, Prairieville, LA 70769-4816 | 2020-08-14 |
1679182711 | Innerspace Counseling | Clinic/Center | 708 Janice Dr, Sulphur, LA 70663-4210 | 2020-07-24 |
1609492982 | Golden Rule Counseling, LLC | Clinic/Center | 37371 Cornerview Rd, Geismar, LA 70734-3242 | 2020-06-22 |
1477177814 | Dr. Phaetra K. Raney Foundation Inc. | Clinic/Center | 1 Lakeshore Dr Ste 130, Lake Charles, LA 70629-0100 | 2020-06-02 |
1497378764 | Recovery Innovations, Inc | Clinic/Center | 3455 Florida St, Baton Rouge, LA 70806-3764 | 2020-05-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.