Healthcare Provider Details

I. General information

NPI: 1366807794
Provider Name (Legal Business Name): LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2015
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date: 05/10/2022
Reactivation Date: 08/15/2022

III. Provider practice location address

3101 ARMOND ST. SUITE 3
MONROE LA
71201
US

IV. Provider business mailing address

904 DEVILLE LANE
RUSTON LA
71270
US

V. Phone/Fax

Practice location:
  • Phone: 318-255-5020
  • Fax: 318-255-6623
Mailing address:
  • Phone: 318-255-5020
  • Fax: 318-255-6623

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: RICK WHEAT
Title or Position: CEO
Credential:
Phone: 318-255-5020