Provider Demographics
NPI:1902691082
Name:MACDONELL UNITED METHODIST CHILDREN'S SERVICES, INC
Entity type:Organization
Organization Name:MACDONELL UNITED METHODIST CHILDREN'S SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DURR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-264-0483
Mailing Address - Street 1:8326 MAIN ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363-4871
Mailing Address - Country:US
Mailing Address - Phone:985-868-2620
Mailing Address - Fax:985-868-8547
Practice Address - Street 1:8326 MAIN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-4871
Practice Address - Country:US
Practice Address - Phone:985-868-2620
Practice Address - Fax:985-868-8547
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MACDONELL UNITED METHODIST CHILDREN'S SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)