OrganizationActive
Therapeutic Behavioral Servicess
NPI 1821481714 · Health Maintenance Organization · Marrero, LA
Provider details
- NPI number
- 1821481714
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Durrell Jeffery, C.e.o.(940) 735-0604
Specialties & taxonomies
Managed Care Organizations
- Exclusive Provider Organization302F00000X
Managed Care Organizations
- Preferred Provider Organization305R00000X
Managed Care Organizations
- Point of Service305S00000X
Managed Care Organizations
Practice location
605 Silver Lilly Ln
Marrero, LA 70072-1426
Phone: (940) 735-0604
Approximate (ZIP-level) locationGet directions
Mailing address
605 Silver Lilly Ln
Marrero, LA 70072-1426
Registry dates
- Enumerated
- 2015-03-17
- Last updated
- 2015-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.