Provider Demographics
NPI:1669608097
Name:CONSUMER ADVOCACY AND RESOURCE COORDINATION, INC.
Entity type:Organization
Organization Name:CONSUMER ADVOCACY AND RESOURCE COORDINATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:JR
Authorized Official - Credentials:EDD
Authorized Official - Phone:337-433-3620
Mailing Address - Street 1:4100 J. BENNETT JOHNSTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70615-5166
Mailing Address - Country:US
Mailing Address - Phone:337-433-7792
Mailing Address - Fax:337-433-5181
Practice Address - Street 1:902 CANVASBACK STREET
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615
Practice Address - Country:US
Practice Address - Phone:337-433-7792
Practice Address - Fax:337-433-5181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA27014251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA27014OtherDEPT. OF HEALTH AND HOSPITALS LICENSE