Healthcare Provider Details

I. General information

NPI: 1053292581
Provider Name (Legal Business Name): GULF COAST TEACHING FAMILY SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 FLORIDA BLVD
BATON ROUGE LA
70806-4247
US

IV. Provider business mailing address

2400 EDENBORN AVE
METAIRIE LA
70001-1817
US

V. Phone/Fax

Practice location:
  • Phone: 225-201-0696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BARBER
Title or Position: AR/BILLING MANAGER
Credential:
Phone: 504-831-6561