Provider Demographics
NPI:1003351545
Name:FRIENDS OF LOUISIANA CONNECTIONS ACADEMY
Entity Type:Organization
Organization Name:FRIENDS OF LOUISIANA CONNECTIONS ACADEMY
Other - Org Name:UNIVERSITY VIEW ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPPORT SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNIE
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-372-8636
Mailing Address - Street 1:4664 JAMESTOWN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3241
Mailing Address - Country:US
Mailing Address - Phone:225-372-8636
Mailing Address - Fax:
Practice Address - Street 1:4664 JAMESTOWN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3241
Practice Address - Country:US
Practice Address - Phone:225-372-8636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)