Organization
GULF COAST TEACHING FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE GREEN MPA (CEO)
(504) 831-6561
Entity
Organization
Contact information
Practice address
515 S COLLEGE RD, SUITE 100, LAFAYETTE, LA 70503-3352
(337) 269-1165
(337) 235-1961
Mailing address
2400 EDENBORN AVE, METAIRIE, LA 70001-1817
(504) 831-6561
(504) 835-3156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RC2578
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934119
—
LA
Enumeration date
02/28/2007
Last updated
09/29/2022
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