Provider Demographics
NPI:1205109865
Name:MACDONELL UNITED METHODIST CHILDREN'S SERVICES, INC
Entity type:Organization
Organization Name:MACDONELL UNITED METHODIST CHILDREN'S SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLERY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:985-868-8362
Mailing Address - Street 1:8326 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363-4871
Mailing Address - Country:US
Mailing Address - Phone:985-868-8362
Mailing Address - Fax:985-868-8474
Practice Address - Street 1:8326 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-4871
Practice Address - Country:US
Practice Address - Phone:985-868-8362
Practice Address - Fax:985-868-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2072253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency