Basic Information
| Provider Information | |||||||||
| NPI: | 1275926461 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALL PRO BEHAVIORAL HEALTH SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3253 W PARK AVE | ||||||||
| Address2: | |||||||||
| City: | GRAY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703593512 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3253 W PARK AVE | ||||||||
| Address2: | |||||||||
| City: | GRAY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703593512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043141737 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2015 | ||||||||
| LastUpdateDate: | 03/11/2015 | ||||||||
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| AuthorizedOfficialLastName: | VERDIN | ||||||||
| AuthorizedOfficialFirstName: | SADE | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5043141737 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.