Basic Information
| Provider Information | |||||||||
| NPI: | 1992922736 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LOVING HEARTS SOCIAL SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2448 JOHNSTON ST STE B | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705032756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3372337250 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2448 JOHNSTON ST STE B | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705032756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3372337250 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2007 | ||||||||
| LastUpdateDate: | 10/13/2015 | ||||||||
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| AuthorizedOfficialLastName: | DURAND | ||||||||
| AuthorizedOfficialFirstName: | GIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3372337250 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | LOVING HEARTS LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | ADC 9446 | LA | Y | Agencies | Community/Behavioral Health |
No ID Information.