Provider Demographics
NPI:1659630739
Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Entity type:Organization
Organization Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHEAT
Authorized Official - Suffix:JR
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:318-255-6623
Practice Address - Street 1:3029 NORTH BEGLIS PKWY
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-0648
Practice Address - Country:US
Practice Address - Phone:337-527-5056
Practice Address - Fax:337-527-5367
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-10
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
323P00000X
LA258PRTF323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility