OrganizationActive
Impact Behavioral
NPI 1053770685 · Community/Behavioral Health Agency · Marrero, LA
Impact Behavioral is a Community/Behavioral Health Agency organization in Marrero, LA (NPI 1053770685).
Provider details
- NPI number
- 1053770685
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mieshan Madison, Clinician(504) 394-1774
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4700 Wichers Dr
Suite 205
Marrero, LA 70072-3041
Phone: (504) 407-0709
Fax: (504) 333-6252
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Wichers Dr
Marrero, LA 70072-3041
Registry dates
- Enumerated
- 2016-02-10
- Last updated
- 2016-02-10
Frequently asked questions
- What is Impact Behavioral's NPI number?
- Impact Behavioral's National Provider Identifier (NPI) is 1053770685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Behavioral?
- Impact Behavioral is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Impact Behavioral located?
- Impact Behavioral's practice location on file with NPPES is 4700 Wichers Dr, Marrero, LA 70072-3041.
- What is Impact Behavioral's phone number?
- The practice phone number listed in the NPPES registry for Impact Behavioral is (504) 407-0709.
- Who is the authorized official for Impact Behavioral?
- The authorized official listed on Impact Behavioral's NPPES record is Mieshan Madison, Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Behavioral's NPI active?
- Yes — Impact Behavioral's NPI (1053770685) is active in the NPPES registry as of the last update on 2016-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.