NPIMap

Organization Active NPI

Gulf Coast Teaching Family Services, Inc.

  • Community/Behavioral Health Agency
  • Lake Charles, LA
National Provider Identifier
1780711549
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11764 Issued in LA
Legal business name
GULF COAST TEACHING FAMILY SERVICES, INC.
Practice address
700 Pujo St Ste a
Lake Charles, LA 70601-4378
Phone
(337) 436-6622
Fax
(337) 436-4403
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Willie Green, MPA
Title
Ceo
Phone
(504) 831-6561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11764 LA Primary

Addresses

Primary practice location

700 Pujo St Ste a
Lake Charles, LA 70601-4378

Mailing address

2400 Edenborn Ave
Metairie, LA 70001-1817
Phone (504) 831-6561

Other identifiers 1

IdentifierTypeStateIssuer
1984213MedicaidLA

Other names 1

  • Gulf Coast Social Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Teaching Family Services56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1780711549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-831-6561",
            "fax_number": "504-835-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PUJO ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014378",
            "telephone_number": "337-436-6622",
            "fax_number": "337-436-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST TEACHING FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-831-6561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "11764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1984213",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Social Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.