| Organization Name: | ACTIVE INTERVENTION, INC. |
| NPI Number: | 1104881564 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILYN MCCLELLAND THORPE (COUNSELOR) |
| Mailing Address: | 1799 Stumpf Blvd Bldg. 7 Ste. 10 Terrytown |
| State: | LA US |
| Postal Code: | 700563950 |
| Phone Number: | 5043675766 |
| Fax Number: | 5043675755 |
| NPI Enumeration Date: | 04/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |