Provider Demographics
NPI:1336438746
Name:VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:318-221-2669
Mailing Address - Street 1:360 JORDAN ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4847
Mailing Address - Country:US
Mailing Address - Phone:318-221-2669
Mailing Address - Fax:318-221-6370
Practice Address - Street 1:520 OLIVE ST
Practice Address - Street 2:STE. A203
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2312
Practice Address - Country:US
Practice Address - Phone:318-425-0618
Practice Address - Fax:318-429-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health