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NPI Code Detail

MEDICARE: OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC

MEDICARE: OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital548LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164518312
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC
Provider Business Mailing Address
First Line : 3905 HEDGCOXE RD UNIT 250249
Second Line :
City : PLANO
State : TX
Zip : 75025-0840
Country : US
Telephone Number : 972-464-0022
Fax Number : 972-464-0021
Provider Business Practice Location Address
First Line : 420 ALBERTSON PKWY
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4968
Country : US
Telephone Number : 337-237-6444
Fax Number : 337-839-9099
Authorized Official
Title or Position : C.E.O.
Name : STUART ARCHER
Credential :
Telephone Number : 972-464-0022
Provider Enumeration Date : 10/05/2006
Last Update Date : 09/15/2022

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Directions to “OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC ” Practice Location

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