ODYSSEY HOUSE LOUISIANA, INC (NPI# 1285286476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285286476 |
| Entity Type | Organization |
| Organization Name | ODYSSEY HOUSE LOUISIANA, INC |
| Practice Address |
4012 Avenue H Lake Charles LA 70615-5186 |
| Mailing Address |
1125 N Tonti St New Orleans LA 70119-3598 |
| Practice Telephone | 3374333786 |
| Practice Fax Number | 5042678571 |
| Mailing Telephone | 5048219211 |
| Mailing Fax Number | 5042678571 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | AMBERZETTE K MULKEY (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 5042208058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
| 1679132179 | Odyssey House Louisiana, Inc | Clinic/Center | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-08 |
| 1245729045 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 4730 Washington Ave, New Orleans, LA 70125-1226 | 2018-05-07 |
| 1588065569 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 1125 N Tonti St, New Orleans, LA 70119-3549 | 2014-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ODYSSEY HOUSE LOUISIANA, INC. | 1125 N Tonti St, New Orleans, LA 70119-3549 |
| Street Address |
4012 AVENUE H |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70615-5186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104871425 | Department of Health and Hospitals | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-05-24 |
| 1093269359 | Kayla Allison | Social Worker | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2016-08-04 |
| 1073972576 | Amanda Turner | Social Worker | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2016-02-12 |
| 1497128763 | Toni Hunt | Counselor | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2015-11-09 |
| 1508244351 | Melissa Diane Pierce | Counselor | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2015-05-13 |
| 1447530134 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2011-08-25 |
| 1023048527 | Melanie Elaine Lejeune | Counselor | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-07-03 |
| 1467481390 | Margaret Mascoll | Counselor | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-07-02 |
| 1174563324 | Department of Health and Hospitals | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
| 1275908725 | Ashley Jones | Counselor | 1716 Eleanor St., Lake Charles, LA 70615 | 2015-12-09 |
| 1669608097 | Consumer Advocacy and Resource Coordination, Inc. | Case Management | 902 Canvasback Street, Lake Charles, LA 70615 | 2009-05-29 |
| 1770796906 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 2412 Third Street, Lake Charles, LA 70615 | 2007-05-07 |
| 1376755454 | Christus Health Southwestern Louisiana | Clinic/Center | 2802 Pineview Street, Lake Charles, LA 70615 | 2007-05-03 |
| 1669981312 | Terri Williams | Registered Nurse | 3975 East Prien Lake Rd, Lake Charles (and Vicinity), LA 70615 | 2017-09-26 |
| 1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
| 1063726248 | Elisha Dianne Conner | Licensed Practical Nurse | 2915 Fitzenrieter Rd, Lake Charles, LA 70615-1314 | 2010-07-30 |
| 1790906493 | Jeannine Utzman Babineaux | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2007-05-01 |
| 1174800569 | Hollie Steffens Donnelly | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2011-11-14 |
| Find all providers in zip 70615 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1225387962 | Saves Haven Drug and Alcohol Rehab Center | Substance Abuse Rehabilitation Facility | 419 Lebato Street, Lake Charles, LA 70601 | 2012-09-07 |
| 1417100801 | New Beginnings At Lake Charles, LLC | Substance Abuse Rehabilitation Facility | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2008-10-29 |
| 1104871425 | Department of Health and Hospitals | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-05-24 |
| 1255898995 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607-7054 | 2019-03-01 |
| 1447530134 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2011-08-25 |
| 1174563324 | Department of Health and Hospitals | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690811 | Elevate Recovery Project, LLC | Substance Abuse Rehabilitation Facility | 7742 Office Park Blvd Ste C2, Baton Rouge, LA 70809-8636 | 2020-08-19 |
| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1215550736 | Cataldie Publishing LLC | Substance Abuse Rehabilitation Facility | 349 Highway 61, Jackson, LA 70748-4218 | 2020-05-19 |
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
| 1801430962 | Baton Rouge Recovery Health LLC | Substance Abuse Rehabilitation Facility | 3600 Florida Blvd Ste 4t, Baton Rouge, LA 70806-3842 | 2019-11-01 |
| 1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70615 |
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| 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.