| Gulf Coast Social Services, Inc. | |
|
723 Point St Houma LA 70360-4744 | |
| (985) 851-4488 | |
| (985) 872-0985 |
| Full Name | Gulf Coast Social Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 723 Point St, Houma, Louisiana |
| Authorized Official Name and Position | Willie Green (CEO) |
| Authorized Official Contact | 5048316561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Social Services, Inc. 2400 Edenborn Ave Metairie LA 70001-1817 Ph: (504) 831-6561 | Gulf Coast Social Services, Inc. 723 Point St Houma LA 70360-4744 Ph: (985) 851-4488 |
| NPI Number | 1417084260 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417084260 | NPI | - | NPPES |
| 1935158 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | RC2576 (Louisiana) | Secondary |
| 251S00000X | Community/behavioral Health | RC10739 (Louisiana) | Primary |
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