Provider Demographics
NPI:1073835245
Name:LAFAYETTE PARISH SCHOOL BOARD GENERAL FUND
Entity Type:Organization
Organization Name:LAFAYETTE PARISH SCHOOL BOARD GENERAL FUND
Other - Org Name:CARENCRO MIDDLE SCHOOL BASED HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BURNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-521-7014
Mailing Address - Street 1:113 CHAPLIN DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-2101
Mailing Address - Country:US
Mailing Address - Phone:337-521-7302
Mailing Address - Fax:337-521-7301
Practice Address - Street 1:113 CHAPLIN DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-2101
Practice Address - Country:US
Practice Address - Phone:337-521-7302
Practice Address - Fax:337-521-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health