Healthcare Provider Details

I. General information

NPI: 1659921013
Provider Name (Legal Business Name): CENTER FOR THRIVING FAMILIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CURRAN LN STE A-1
LAFAYETTE LA
70506-7222
US

IV. Provider business mailing address

114 CURRAN LN STE A-1
LAFAYETTE LA
70506-7222
US

V. Phone/Fax

Practice location:
  • Phone: 337-326-0659
  • Fax: 337-340-9280
Mailing address:
  • Phone: 337-703-3037
  • Fax: 337-340-9280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERRICA BRITTANY TURNER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 337-326-0659