PECAN HAVEN ADDICTION RECOVERY CENTER, LLC
NPI 1366820706
Substance Abuse Rehabilitation Facility in Monroe, LA
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 19D2101759
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 09-08-2027
About PECAN HAVEN ADDICTION RECOVERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Pecan Haven Addiction Recovery Center, Llc, a provider established in Monroe, Louisiana operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1366820706 assigned on May 2015. The practitioner's primary taxonomy code is 324500000X with license number 220382709 (LA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Pecan Haven Adolescent Addiction Center. The authorized official of this NPI record is Amanda Peeler Fontenot Cppm (Business Manager)
- NPI
- 1366820706 Verify this NPI
- Provider Legal Name
- PECAN HAVEN ADDICTION RECOVERY CENTER, LLC
- Other Organization Name
- PECAN HAVEN ADOLESCENT ADDICTION CENTER
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2321 HWY 80 EAST MONROE, LA 71203
- Location Phone
- (318) 600-3333
- Location Fax
- (318) 600-3334
- Mailing Address
- 2321 HWY 80 EAST MONROE, LA 71203
- Mailing Phone
- (318) 600-3333
- Mailing Fax
- (318) 600-3334
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2015
- Last Update Date
- 09-14-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 220382709
- License State
- LA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2101759
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- September 09, 2025
- Certificate Expiration Date
- September 08, 2027
- Laboratory Director
- MICHAEL E. MCCORMICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pecan Haven Addiction Recovery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366820706, enumerated as an "organization" on May 18, 2015.
The provider is located at 2321 HWY 80 EAST MONROE, LA 71203 and the phone number is (318) 600-3333.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.
