Healthcare Provider Details

I. General information

NPI: 1215847314
Provider Name (Legal Business Name): WCH BEHAVIORAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W GLORIA SWITCH RD STE 111
LAFAYETTE LA
70507-3409
US

IV. Provider business mailing address

2930 MOSS ST
LAFAYETTE LA
70501-1274
US

V. Phone/Fax

Practice location:
  • Phone: 337-332-4222
  • Fax: 337-332-6752
Mailing address:
  • Phone: 337-332-4222
  • Fax: 337-332-6758

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: ALVA JONES LUCKETT
Title or Position: OWNER
Credential:
Phone: 337-332-4222