Healthcare Provider Details

I. General information

NPI: 1205109865
Provider Name (Legal Business Name): MACDONELL UNITED METHODIST CHILDREN'S SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2012
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8326 MAIN ST
HOUMA LA
70363-4871
US

IV. Provider business mailing address

8326 MAIN ST
HOUMA LA
70363-4871
US

V. Phone/Fax

Practice location:
  • Phone: 985-868-8362
  • Fax: 985-868-8474
Mailing address:
  • Phone: 985-868-8362
  • Fax: 985-868-8474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number2072
License Number StateLA

VIII. Authorized Official

Name: MS. HEIDI HILLERY
Title or Position: CEO/PRESIDENT
Credential: LCSW
Phone: 985-868-8362