PECAN HAVEN ADDICTION RECOVERY CENTER, LLC
NPI 1366820706
Substance Abuse Rehabilitation Facility in Monroe, LA

Q: What is Pecan Haven Addiction Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since May 18, 2015CLIA 19D2101759 · Waiver

2321 HWY 80 EAST, MONROE, LA 71203(318) 600-3333(318) 600-3334 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 14, 2016, Aug 30, 2016 (2 updates tracked since 2016).

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About Pecan Haven Addiction Recovery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECAN HAVEN ADDICTION RECOVERY CENTER, LLC (NPI 1366820706), doing business as Pecan Haven Adolescent Addiction Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Monroe, Louisiana and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Amanda Peeler Fontenot, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1366820706

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePECAN HAVEN ADDICTION RECOVERY CENTER, LLC

Location Address2321 HWY 80 EASTMonroe, LA 71203

Mailing Address2321 Hwy 80 EastMonroe, LA 71203 · (318) 600-3333 · Fax (318) 600-3334

Phone(318) 600-3333

Fax(318) 600-3334

Organization SubpartNo

Authorized OfficialAmanda Peeler FontenotBusiness Manager · (318) 600-3333

Enumeration DateMay 18, 2015

Last NPPES UpdateSeptember 14, 20162 updates tracked since enumeration

✔ NPI 1366820706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in LA · 220382709

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2321 HWY 80 EAST, Monroe, LA 71203

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Other Names 1

Former Legal Business NamePecan Haven Adolescent Addiction Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2101759

Pecan Haven Addiction Recovery Center · Monroe, LA

Active · expires Sep 8, 2027

CLIA Number19D2101759

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateSeptember 9, 2025

Certificate Expiration DateSeptember 8, 2027

Laboratory DirectorMichael E. Mccormick

Laboratory Phone(318) 600-3333

Laboratory LocationPecan Haven Addiction Recovery Center2321 Hwy 80 East, Monroe, LA 71203

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pecan Haven Addiction Recovery Center, LLC's NPI number?

The NPI number for Pecan Haven Addiction Recovery Center, LLC is 1366820706. It was assigned to this organization in the NPPES registry on May 18, 2015. The provider was formerly known as Pecan Haven Adolescent Addiction Center.

Where is Pecan Haven Addiction Recovery Center, LLC located?

Pecan Haven Addiction Recovery Center, LLC is located at 2321 Hwy 80 East, Monroe, LA 71203. The listed phone number is (318) 600-3333.

What is Pecan Haven Addiction Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Pecan Haven Addiction Recovery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2101759) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pecan Haven Addiction Recovery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Pecan Haven Addiction Recovery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pecan Haven Addiction Recovery Center, LLC was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.