Provider Demographics
NPI:1497992390
Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Other - Org Name:METHODIST CHILDREN'S HOME OF SOUTHEAST LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-255-5020
Mailing Address - Street 1:904 DEVILLE LANE
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270
Mailing Address - Country:US
Mailing Address - Phone:318-255-5020
Mailing Address - Fax:318-255-6623
Practice Address - Street 1:49242 HWY 445
Practice Address - Street 2:
Practice Address - City:LORANGER
Practice Address - State:LA
Practice Address - Zip Code:70446
Practice Address - Country:US
Practice Address - Phone:985-606-9900
Practice Address - Fax:985-606-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA258-PRTF323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility