Provider Demographics
NPI:1588842991
Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Other - Org Name:FAMILY COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
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:318-242-4698
Practice Address - Street 1:904 DEVILLE LANE
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270
Practice Address - Country:US
Practice Address - Phone:318-255-5020
Practice Address - Fax:318-242-4698
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-07
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2898251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health