Organization Active NPI

Urban Learning and Leadership Center Family Services, Inc

  • Community/Behavioral Health Agency
  • Alexandria, LA
National Provider Identifier
1497034870
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123409MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Ullcinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.