Council for Advancement of Social Service and Education
Organization Active NPI Federally Qualified Health Center (FQHC) · Stonewall, LA
NPI 1912428244 · NPPES record last updated Jul 24, 2020
Key facts
- NPI
- 1912428244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
- Practice address
- 149 Stonecreek Dr.
Stonewall, LA 71078-6100 - Phone
- (318) 688-3350
- NPI assigned
- Jun 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Jeff Moody
- Title
- C.O.O.
- Phone
- (318) 688-3350
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Council for the Advancement of Social Services and Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
149 Stonecreek Dr.
Stonewall, LA 71078-6100
Mailing address
2120 Bert Kouns Industrial Loop Ste a
Shreveport, LA 71118-3351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2366866 | Medicaid | LA |
Other providers in Stonewall, LA
- Sonya Carter
- Faith Charrier
- Christus Health Central Louisiana
- Tera Rachal Cooke
- Council for Advancement of Social Service and Education
- Brandon T Craig
- Credit Angel Transportation
- Emily Carol Ryan Cristler
- D N L Outpatient Rehab, LLC
- Jennifer Dawn Davis
All providers in Stonewall, LA · Federally Qualified Health Center (FQHC) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.