Organization · NPI-2
Lifecare Psychiatric Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Opelousas, LA
NPI number1629027602
StatusActive
Last updated in NPPESJan 22, 2008
Details
- NPI
- 1629027602
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifecare Psychiatric Services, LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2006
- Last updated
- Jan 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- St. Landry Psychiatric Treatment Center (Doing Business As)
Practice location
216 Robin LnOpelousas, LA 70570-9149
Phone 337-948-5055 · Fax 337-942-1060
Mailing address
201 Rue BeauregardSuite 202
Lafayette, LA 70508-3251
Phone 337-593-0108 · Fax 337-593-9579
Authorized official
Beryl D Cormier
Owner
3375930108
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