PEACOCK ADDICTION TREATMENT & HEALING (PATH) CENTER LLC
NPI 1942033808
Clinic/Center - Rehabilitation, Substance Use Disorder in Rayville, LA

Active since August 24, 2024
1401 LOUISA ST, RAYVILLE, LA 71269(318) 303-4632(318) 301-6826 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peacock Addiction Treatment & Healing (path) Center Llc NPPES

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

PEACOCK ADDICTION TREATMENT & HEALING (PATH) CENTER LLC (NPI 1942033808), doing business as Peacock Lifecare, is a healthcare organization registered as a rehabilitation, substance use disorder in Rayville, Louisiana and active in the NPI registry since August 2024. The organization lists Jo Lynn Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1942033808
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePEACOCK ADDICTION TREATMENT & HEALING (PATH) CENTER LLC
Location Address1401 LOUISA STRayville, LA 71269-3245
Mailing Address437 Overlan Stage RdRayville, LA 71269-7655 · (318) 334-5825 · Fax (318) 301-6826
Fax(318) 301-6826
Organization SubpartNo
Authorized OfficialJo Lynn BennettOwner · (318) 334-5825
Enumeration DateAugust 24, 2024
NPPES CertifiedAugust 24, 2024
NPI 1942033808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedClinic/CenterTaxonomy 261Q00000X
1401 LOUISA ST, Rayville, LA 71269

Other Names 1

Former Legal Business NamePeacock Lifecare

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
1401 LOUISA ST
RAYVILLE, LA 71269

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 Peacock Addiction Treatment & Healing (path) Center LLC's NPI number?

The NPI number for Peacock Addiction Treatment & Healing (path) Center LLC is 1942033808. It was assigned to this organization in the NPPES registry on August 24, 2024. The provider was formerly known as Peacock LifeCare.

Where is Peacock Addiction Treatment & Healing (path) Center LLC located?

Peacock Addiction Treatment & Healing (path) Center LLC is located at 1401 Louisa St, Rayville, LA 71269. The listed phone number is (318) 303-4632.

What is Peacock Addiction Treatment & Healing (path) Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Peacock Addiction Treatment & Healing (path) Center LLC was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.