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VICTORY ADDICTION RECOVERY CENTER
NPI 1497007694
Substance Abuse Rehabilitation Facility in Lafayette, LA

Active since October 11, 2012CLIA 19D2047674 · Waiver
111 LIBERTY AVE, LAFAYETTE, LA 70508(337) 456-9111(337) 456-9131 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victory Addiction Recovery Center NPPES

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

VICTORY ADDICTION RECOVERY CENTER (NPI 1497007694) is a healthcare organization registered as a substance abuse rehabilitation facility in Lafayette, Louisiana and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists David A. Legendre, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497007694
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameVICTORY ADDICTION RECOVERY CENTER
Location Address111 LIBERTY AVELafayette, LA 70508-6821
Mailing Address111 Liberty AveLafayette, LA 70508-6821 · (337) 456-9111 · Fax (337) 456-9131
Phone(337) 456-9111
Fax(337) 456-9131
Organization SubpartNo
Authorized OfficialDavid A. LegendreCeo · (337) 456-9111
Enumeration DateOctober 11, 2012
Last NPPES UpdateApril 29, 2013
✔ NPI 1497007694 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 · 2203781178
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.
111 LIBERTY AVE, Lafayette, LA 70508
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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 19D2047674

Victory Addiction Recovery Center Summit Bhc Lafayette, LLC · Lafayette, LA
Active · expires Sep 30, 2026
CLIA Number19D2047674
Laboratory TypeResidential Sa Center
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorEdward C. Lafleur
Laboratory Phone(337) 456-9111
Laboratory LocationVictory Addiction Recovery Center Summit Bhc Lafayette, LLC111 Liberty Avenue, Lafayette, LA 70508
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT BHC LAFAYETTE, LLC
Substance Abuse Rehabilitation Facility
111 LIBERTY AVE
LAFAYETTE, LA 70508
Lafayette Parish (251) 986-4012

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 Victory Addiction Recovery Center's NPI number?

The NPI number for Victory Addiction Recovery Center is 1497007694. It was assigned to this organization in the NPPES registry on October 11, 2012.

Where is Victory Addiction Recovery Center located?

Victory Addiction Recovery Center is located at 111 Liberty Ave, Lafayette, LA 70508. The listed phone number is (337) 456-9111.

What is Victory Addiction Recovery Center's specialty?

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

Does Victory Addiction Recovery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2047674) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Victory Addiction Recovery Center was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.