Provider Demographics
NPI:1164798880
Name:THE CENTER FOR FAMILY AND YOUTH SERVICES INC
Entity Type:Organization
Organization Name:THE CENTER FOR FAMILY AND YOUTH SERVICES INC
Other - Org Name:CREATIVE FAMILY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DISHONGH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PHD
Authorized Official - Phone:985-331-1999
Mailing Address - Street 1:13101 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-4165
Mailing Address - Country:US
Mailing Address - Phone:985-331-1999
Mailing Address - Fax:985-331-2353
Practice Address - Street 1:13101 RIVER RD
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-4165
Practice Address - Country:US
Practice Address - Phone:985-331-1999
Practice Address - Fax:985-331-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty