| Peaceful Pathways Behavioral Health Services Llc | |
|
2529 Lake St Lake Charles LA 70601-8211 | |
| (337) 761-4981 | |
| (337) 735-9760 |
| Full Name | Peaceful Pathways Behavioral Health Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2529 Lake St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Qualynn S Jenkins (NURSE PRACTITIONER) |
| Authorized Official Contact | 3379129758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Pathways Behavioral Health Services Llc 2529 Lake St Lake Charles LA 70601-8211 Ph: (337) 761-4981 | Peaceful Pathways Behavioral Health Services Llc 2529 Lake St Lake Charles LA 70601-8211 Ph: (337) 761-4981 |
| NPI Number | 1356115125 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356115125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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