National Provider Identifier Database

COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
149 STONECREEK DR.
STONEWALL, LA71078-6100
Phone: 318-688-3350
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION

NPI Number 1912428244
Legal business name
LBN
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Authorized official JEFF MOODY - (C.O.O.)
Entity Organization
Organization subpart No
Enumeration date 06/27/2017
Last updated 07/24/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 2366866

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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