Provider Demographics
NPI:1912374604
Name:PINNACLE FAMILY SERVICES OF LOUISIANA, LLC
Entity Type:Organization
Organization Name:PINNACLE FAMILY SERVICES OF LOUISIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-651-8264
Mailing Address - Street 1:2902 EVANGELINE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3724
Mailing Address - Country:US
Mailing Address - Phone:318-651-8264
Mailing Address - Fax:
Practice Address - Street 1:2902 EVANGELINE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3724
Practice Address - Country:US
Practice Address - Phone:318-651-8264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency