Lifecare Psychiatric Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFECARE PSYCHIATRIC SERVICES, LLC

Doing business as

Lifecare Psychiatric Treatment Center

Practice address

170 Industrial Pkwy
Lafayette, LA 70508-8309

Phone

(337) 233-3880

Fax

(337) 262-8676

NPI assigned

May 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Harry A Cicero Sr.

Title

Owner

Phone

(337) 593-0108

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifecare Psychiatric Treatment Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Katherine Tabor, APRN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1285631044
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1326097429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083251",
            "telephone_number": "337-593-0108",
            "fax_number": "338-590-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INDUSTRIAL PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088309",
            "telephone_number": "337-233-3880",
            "fax_number": "337-262-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-593-0108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "60659",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Psychiatric Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.