Provider Demographics
NPI:1780942565
Name:LA FEDERATION OF FAMILIES
Entity type:Organization
Organization Name:LA FEDERATION OF FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERLYN
Authorized Official - Middle Name:O
Authorized Official - Last Name:LEWISBOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-293-3508
Mailing Address - Street 1:5627 SUPERIOR DR
Mailing Address - Street 2:SUITE A2
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6085
Mailing Address - Country:US
Mailing Address - Phone:225-293-3508
Mailing Address - Fax:225-293-3510
Practice Address - Street 1:802 MAIN ST
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-6406
Practice Address - Country:US
Practice Address - Phone:318-443-5500
Practice Address - Fax:318-442-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health