Provider Demographics
NPI:1073973475
Name:A PLUS FAMILY AND COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:A PLUS FAMILY AND COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:WD
Authorized Official - Last Name:PECANTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-256-8704
Mailing Address - Street 1:420 S IBERIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4530
Mailing Address - Country:US
Mailing Address - Phone:337-380-8639
Mailing Address - Fax:337-364-1022
Practice Address - Street 1:420 S IBERIA ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4530
Practice Address - Country:US
Practice Address - Phone:337-380-8639
Practice Address - Fax:337-364-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA2203783145101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty