Healthcare Provider Details

I. General information

NPI: 1750246203
Provider Name (Legal Business Name): GULF COAST TEACHING FAMILY SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 CM FAGAN DRIVE STE 3B/4B
HAMMOND LA
70403
US

IV. Provider business mailing address

906 CM FAGAN DRIVE STE 3B/4B
HAMMOND LA
70403
US

V. Phone/Fax

Practice location:
  • Phone: 985-542-1191
  • Fax: 985-400-5417
Mailing address:
  • Phone: 985-542-1191
  • Fax: 985-400-5417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

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