Provider Demographics
NPI:1114960457
Name:LOUSIANA COUNSELING AND FAMILY SERVICE
Entity Type:Organization
Organization Name:LOUSIANA COUNSELING AND FAMILY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-357-6551
Mailing Address - Street 1:300 MARLTON PIKE W
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3048
Mailing Address - Country:US
Mailing Address - Phone:856-357-6551
Mailing Address - Fax:856-552-0799
Practice Address - Street 1:300 MARLTON PIKE W
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3048
Practice Address - Country:US
Practice Address - Phone:856-357-6551
Practice Address - Fax:856-552-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty