=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215847314
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WCH BEHAVIORAL CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2026
-----------------------------------------------------
Last Update Date | 09/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 208 W GLORIA SWITCH RD STE 111
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70507-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-332-4222
-----------------------------------------------------
Fax | 337-332-6752
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2930 MOSS ST
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70501-1274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-332-4222
-----------------------------------------------------
Fax | 337-332-6758
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ALVA JONES LUCKETT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 337-332-4222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------