Healthcare Provider Details

I. General information

NPI: 1164888293
Provider Name (Legal Business Name): LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2016
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 ARMAND ST STE 3
MONROE LA
71201-3940
US

IV. Provider business mailing address

904 DEVILLE LANE
RUSTON LA
71270
US

V. Phone/Fax

Practice location:
  • Phone: 318-680-2550
  • Fax:
Mailing address:
  • Phone: 318-255-5020
  • Fax: 318-255-6623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

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