LAKE WELLNESS CENTER, LLC (NPI# 1982161626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982161626 |
| Entity Type | Organization |
| Organization Name | LAKE WELLNESS CENTER, LLC |
| Practice Address |
1340 W Tunnel Blvd Ste 212 Houma LA 70360-2818 |
| Mailing Address |
501 W Saint Mary Blvd Ste 308 Lafayette LA 70506-4600 |
| Practice Telephone | 9853065253 |
| Practice Fax Number | 9853331717 |
| 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 |
| 1164989802 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 3620 Chestnut St, New Orleans, LA 70115-3615 | 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 |
1340 W TUNNEL BLVD STE 212 |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649421736 | Options for Independence | Community/Behavioral Health | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2008-10-07 |
| 1710248323 | Kimberly F Mellion | Case Manager/Care Coordinator | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2012-05-31 |
| 1477827145 | Latoya D Celestin | Case Manager/Care Coordinator | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2012-02-28 |
| 1093089765 | Anya Nichole Carter-ward | Case Manager/Care Coordinator | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2012-02-28 |
| 1730452772 | Misty A Robichaux | Counselor | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2012-02-22 |
| 1043501323 | Sarah Larke Brooke | Social Worker | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129414 | Department of Health and Hospitals | Clinic/Center | 5599 Highway 311, Houma, LA 70360 | 2005-07-28 |
| 1104250265 | South Central La Human Services Authority | Clinic/Center | 5599 Highway 311, Houma, LA 70360-2866 | 2013-08-26 |
| 1295965101 | New Start Recovery, Inc | Clinic/Center | 214 High St, Houma, LA 70360-4538 | 2009-07-27 |
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| 1598374241 | 5th Dimension Recovery Center | Clinic/Center | 630 Wilson St, Lafayette, LA 70503-2154 | 2020-07-29 |
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| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.