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Organization

LIFECARE PSYCHIATRIC SERVICES, LLC

Active
Other names
Lifecare Psychiatric Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HARRY A CICERO SR. (OWNER)
(337) 593-0108
Entity
Organization

Contact information

Practice address
170 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 233-3880
(337) 262-8676
Mailing address
201 RUE BEAUREGARD, LAFAYETTE, LA 70508-3251
(337) 593-0108
(338) 590-9579

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60659
BCBS OF LA
LA
Enumeration date
05/08/2006
Last updated
01/22/2008
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