Provider Demographics
NPI:1568840650
Name:VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA, INC.
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MYEVOLV DIVISION DIRECTOR II
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-656-0435
Mailing Address - Street 1:7389 FLORIDA BLVD STE 101A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4657
Mailing Address - Country:US
Mailing Address - Phone:225-408-3786
Mailing Address - Fax:
Practice Address - Street 1:1945 CAROLYN SUE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-5509
Practice Address - Country:US
Practice Address - Phone:225-928-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health