Provider Demographics
NPI:1235568767
Name:FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Entity Type:Organization
Organization Name:FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Other - Org Name:FPHSA DENHAM SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-543-4333
Mailing Address - Street 1:1920 FLORIDA AVE SW STE A&B
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-4970
Mailing Address - Country:US
Mailing Address - Phone:225-665-0473
Mailing Address - Fax:225-665-0283
Practice Address - Street 1:1920 FLORIDA AVE SW STE A&B
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-4970
Practice Address - Country:US
Practice Address - Phone:225-665-0473
Practice Address - Fax:225-665-0283
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-05
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA395-A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health