| Lifecare Psychiatric Treatment Center | |
|
170 Industrial Pkwy Lafayette LA 70508-8309 | |
| (337) 233-3880 | |
| (337) 262-8676 |
| Full Name | Lifecare Psychiatric Treatment Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 170 Industrial Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Harry A Cicero (OWNER) |
| Authorized Official Contact | 3375930108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Psychiatric Treatment Center 201 Rue Beauregard Lafayette LA 70508-3251 Ph: (337) 593-0108 | Lifecare Psychiatric Treatment Center 170 Industrial Pkwy Lafayette LA 70508-8309 Ph: (337) 233-3880 |
| NPI Number | 1326097429 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326097429 | NPI | - | NPPES |
| 60659 | Other | LA | BCBS OF LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Wael Alabdulkarim, Md, Apmc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Rue Iberville Ste 110, Lafayette, LA 70508 Phone: 337-234-0630 Fax: 337-234-0632 | |
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