Organization
PEACOCK ADDICTION TREATMENT & HEALING (PATH) CENTER LLC
Active
Other names
Peacock LifeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO LYNN BENNETT APRN (OWNER)
(318) 334-5825
Entity
Organization
Contact information
Practice address
1401 LOUISA ST, RAYVILLE, LA 71269-3245
(318) 303-4632
(318) 301-6826
Mailing address
437 OVERLAN STAGE RD, RAYVILLE, LA 71269-7655
(318) 334-5825
(318) 301-6826
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us