Provider Demographics
NPI:1821625658
Name:ALL ABOUT YOU ADULT AND YOUTH SERVICES, LLC
Entity Type:Organization
Organization Name:ALL ABOUT YOU ADULT AND YOUTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:LIONEL
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-452-4338
Mailing Address - Street 1:701 EE WALLACE BLVD N
Mailing Address - Street 2:
Mailing Address - City:FERRIDAY
Mailing Address - State:LA
Mailing Address - Zip Code:71334-2209
Mailing Address - Country:US
Mailing Address - Phone:318-452-4338
Mailing Address - Fax:318-437-7095
Practice Address - Street 1:701 EE WALLACE BLVD N
Practice Address - Street 2:
Practice Address - City:FERRIDAY
Practice Address - State:LA
Practice Address - Zip Code:71334-2209
Practice Address - Country:US
Practice Address - Phone:318-452-4338
Practice Address - Fax:318-437-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health