Active NPI
Urban Learning and Leadership Center Family Services, Inc
- Community/Behavioral Health Agency
- Alexandria, LA
National Provider Identifier
1497034870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3402111
- Legal business name
- URBAN LEARNING AND LEADERSHIP CENTER FAMILY SERVICES, INC
- Practice address
- 3402 Jackson St Ste H
Alexandria, LA 71301-4060 - Phone
- (504) 913-5452
- Fax
- (504) 367-6601
- NPI assigned
- Aug 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Coleman Sr.
- Title
- Ceo
- Phone
- (504) 913-5452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3402111 | Primary |
Addresses
Primary practice location
3402 Jackson St Ste H
Alexandria, LA 71301-4060
Mailing address
3402 Jackson St Ste H
Alexandria, LA 71301-4060
Phone (504) 913-5452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123409 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Ullcinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Hampton, VA
- NPI 1679892657
Locations
3402 Jackson St
Ste H
Alexandria, LA 71301
Phone (504) 913-5452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313452800000",
"number": "1497034870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 JACKSON ST STE H",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713014060",
"telephone_number": "504-913-5452",
"fax_number": "504-367-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 JACKSON ST STE H",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713014060",
"telephone_number": "504-913-5452",
"fax_number": "504-367-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBAN LEARNING AND LEADERSHIP CENTER FAMILY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-913-5452",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": "3402111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123409",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.