Provider Demographics
NPI:1366807794
Name:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-255-5020
Mailing Address - Street 1:904 DEVILLE LANE
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270
Mailing Address - Country:US
Mailing Address - Phone:318-255-5020
Mailing Address - Fax:318-255-6623
Practice Address - Street 1:3101 ARMOND ST.
Practice Address - Street 2:SUITE 3
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-255-5020
Practice Address - Fax:318-255-6623
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-30
Last Update Date:2022-08-15
Deactivation Date:2022-05-10
Deactivation Code:
Reactivation Date:2022-08-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health