LAKE WELLNESS CENTER, LLC (NPI# 1164989802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164989802 |
| Entity Type | Organization |
| Organization Name | LAKE WELLNESS CENTER, LLC |
| Practice Address |
3620 Chestnut St New Orleans LA 70115-3615 |
| Mailing Address |
501 W Saint Mary Blvd Ste 308 Lafayette LA 70506-4600 |
| Practice Telephone | 5056765253 |
| Practice Fax Number | 5046765151 |
| Mailing Telephone | 3377813408 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | GEORGE ROUSSEL (OWNER) |
| Authorized Official Telephone | 3377030880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424258 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4330 Loveland St Ste A, Metairie, LA 70006-4179 | 2019-03-01 |
| 1346707080 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave Ste A&b, Baton Rouge, LA 70808-7204 | 2019-03-01 |
| 1528525268 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy Ste C110, Lafayette, LA 70508-6937 | 2019-03-01 |
| 1740824507 | Lake Wellness Center, LLC | Clinic/Center | 13100 River Rd, Destrehan, LA 70047-5219 | 2019-11-04 |
| 1790242436 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 | 2019-03-01 |
| 1982161626 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2019-03-01 |
| 1255898995 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607-7054 | 2019-03-01 |
| Street Address |
3620 CHESTNUT ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538235577 | Dynasty Home Health | Home Health | 3620 Chestnut St, New Orleans, LA 70115-3615 | 2006-11-28 |
| 1760842892 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 3620 Chestnut St, New Orleans, LA 70115 | 2016-03-02 |
| 1205246824 | Rachel Reichman | Marriage & Family Therapist | 3620 Chestnut St, New Orleans, LA 70115-2327 | 2014-05-05 |
| 1215270566 | Arc Diagnostics | Physical Medicine & Rehabilitation | 3620 Chestnut St, New Orleans, LA 70115-3615 | 2013-04-04 |
| 1215208335 | Bayou Work Ready Inc | Chiropractor | 3620 Chestnut St, New Orleans, LA 70115-3615 | 2012-01-20 |
| 1477718013 | Gregory Caudill | Psychiatry & Neurology | 3620 Chestnut St, New Orleans, LA 70115-3615 | 2008-07-23 |
| 1205002359 | Preferred Caregivers & Sitters | Home Health | 3620 Chestnut St, New Orleans, LA 70115-3615 | 2008-05-07 |
| 1578691069 | Preferred Caregivers and Sitters, LLC | Home Health | 3620 Chestnut St, New Orleans, LA 70115-3615 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427419951 | Council On Alcohol and Drug Abuse for Greater New Orleans | Clinic/Center | 2640 Canal St Fl 4, New Orleans, LA 70119-6410 | 2016-03-11 |
| 1700173853 | Thibodeaux & Associates LLC | Clinic/Center | 4700 Freret St, New Orleans, LA 70115-6321 | 2011-07-08 |
| 1578791836 | Grace Outreach Center | Clinic/Center | 2533 Lasalle St, New Orleans, LA 70113-2531 | 2009-06-25 |
| 1114584257 | Avenues Recovery Center of Louisiana, LLC | Clinic/Center | 5620 Read Blvd Fl 5, New Orleans, LA 70127-3106 | 2019-05-23 |
| 1811406135 | Townsend Recovery Center New Orleans, LLC | Clinic/Center | 5620 Read Blvd Fl 5, New Orleans, LA 70127 | 2017-09-29 |
| 1235523085 | Gulf South Addiction & Welness | Clinic/Center | 1539 Jackson Ave, Suite 220, New Orleans, LA 70130-5858 | 2015-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374241 | 5th Dimension Recovery Center | Clinic/Center | 630 Wilson St, Lafayette, LA 70503-2154 | 2020-07-29 |
| 1265053649 | Applegate Health Services, Inc | Clinic/Center | 4500 York St Ste 206, Metairie, LA 70001-1249 | 2020-04-27 |
| 1699396085 | Applegate Health Services, Inc | Clinic/Center | 700 Gause Blvd Ste 103, Slidell, LA 70458-2852 | 2020-04-27 |
| 1548893563 | Applegate Health Services, Inc | Clinic/Center | 905 E 7th Ave Ste 7, Oakdale, LA 71463-2788 | 2020-02-18 |
| 1790347433 | New Way Recovery, LLC | Clinic/Center | 222 Bell Ln Ste 6, West Monroe, LA 71291-6303 | 2019-07-02 |
| 1477117455 | Cataldie Publishing LLC | Clinic/Center | 1255 Camelia Ave, Baker, LA 70714-2251 | 2019-04-25 |
| 1679043905 | Applegate Health Services, Inc | Clinic/Center | 2000 Audubon Ave Ste C, Thibodaux, LA 70301-5075 | 2018-11-29 |
| 1003394776 | Applegate Health Services, Inc | Clinic/Center | 4451 Bluebonnet Blvd Ste E, Baton Rouge, LA 70809-9647 | 2018-08-03 |
| 1811440209 | House of Jacob Health Services | Clinic/Center | 316 Filmore St, Kenner, LA 70062-7810 | 2016-08-02 |
| 1184001448 | Silkworth Treatment Services | Clinic/Center | 5319 Didesse Dr, Suite D, Baton Rouge, LA 70808-6401 | 2015-05-06 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on LAKE WELLNESS CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.