Organization
LIFECARE PSYCHIATRIC SERVICES, LLC
Active
Other names
St. Landry Psychiatric Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERYL D CORMIER (OWNER)
(337) 593-0108
Entity
Organization
Contact information
Practice address
216 ROBIN LN, OPELOUSAS, LA 70570-9149
(337) 948-5055
(337) 942-1060
Mailing address
201 RUE BEAUREGARD, SUITE 202, LAFAYETTE, LA 70508-3251
(337) 593-0108
(337) 593-9579
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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