Provider Demographics
NPI:1194219048
Name:YOUTH AND FAMILY OUTREACH SERVICES NORTH LOUISIANA
Entity Type:Organization
Organization Name:YOUTH AND FAMILY OUTREACH SERVICES NORTH LOUISIANA
Other - Org Name:YOUTH AND FAMILY OUTREACH SERVICES NORTH LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLUNDA
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-780-2452
Mailing Address - Street 1:7509 GOLDEN MEADOWS
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:71033
Mailing Address - Country:US
Mailing Address - Phone:318-780-2452
Mailing Address - Fax:888-400-9758
Practice Address - Street 1:6007 FINANCIAL PLZ
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2655
Practice Address - Country:US
Practice Address - Phone:318-545-4488
Practice Address - Fax:888-400-9758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
826953221OtherCASE MANAGEMENT