Provider Demographics
NPI:1154027373
Name:GREAUXING TOWARDS TOMORROW LTD CO
Entity type:Organization
Organization Name:GREAUXING TOWARDS TOMORROW LTD CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-761-6331
Mailing Address - Street 1:139B JAMES COMEAUX RD # 566
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3255
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1720 KALISTE SALOOM RD STE B2
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6139
Practice Address - Country:US
Practice Address - Phone:337-761-6331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health