Healthcare Provider Details

I. General information

NPI: 1316422470
Provider Name (Legal Business Name): THE FAMILY CONNECTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 NATCHITOCHES DR
LAFAYETTE LA
70506-7876
US

IV. Provider business mailing address

2851 JOHNSTON ST STE 519
LAFAYETTE LA
70503-3243
US

V. Phone/Fax

Practice location:
  • Phone: 337-393-0747
  • Fax:
Mailing address:
  • Phone: 337-393-0747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LA'TOYA E. GUILLORY
Title or Position: COO
Credential: MA
Phone: 337-393-0747