STC WELLNESS CENTER, INC (NPI# 1649630328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649630328 |
| Entity Type | Organization |
| Organization Name | STC WELLNESS CENTER, INC |
| Other Organization Name | ST. CHRISTOPHER'S |
| Practice Address |
150 Cora Dr Baton Rouge LA 70815-4201 |
| Practice Telephone | 2253871611 |
| Practice Fax Number | 2253435300 |
| Mailing Telephone | 2253871611 |
| Mailing Fax Number | 2253435300 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | MR. DWAYNE J BEASON (CEO/PRESIDENT) |
| Authorized Official Telephone | 2253871611 |
| Is Organization Subpart | Y |
| Parent Organization Name | STC ADDICTION WELLNESS CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Christopher's | Doing Business As Name - Organization |
| Street Address |
150 CORA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093726978 | Stc Addiction Wellness Center, Inc. | Rehabilitation, Substance Use Disorder Unit | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2006-08-10 |
| 1467064667 | Michael Ramos | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-19 |
| 1851902167 | Greg Allen Tiritilli | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-11 |
| 1730790049 | Teague Rasmussen | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-11 |
| 1275003774 | Joel Salvaggio | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-28 |
| 1497225890 | Micha Scholes | Social Worker | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-28 |
| 1710457304 | Trevor Flener | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1629548201 | Stephen Zachaary Knippenberg | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1578033163 | Jacob Peltier | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-27 |
| 1134699747 | Crystal Loup | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1497378764 | Recovery Innovations, Inc | Clinic/Center | 3455 Florida St, Baton Rouge, LA 70806-3764 | 2020-05-21 |
| 1033738562 | 360 Recovery Group LLC | Clinic/Center | 4184 North Blvd, Baton Rouge, LA 70806-3911 | 2020-04-14 |
| 1043878788 | Made Whole Counseling, LLC | Clinic/Center | 9466 Greenwell Springs Rd, Baton Rouge, LA 70814-2911 | 2019-05-29 |
| 1134606692 | Journey To Insight | Clinic/Center | 10508 N Glenstone Pl, Baton Rouge, LA 70810-2838 | 2018-07-26 |
| 1629460456 | Restore Outreach Center | Clinic/Center | 2415 Government St, Baton Rouge, LA 70806-5318 | 2015-03-03 |
| 1457771875 | The Wise Fox Corporation | Clinic/Center | 18634 Bay Ridge Ct, Baton Rouge, LA 70817-1802 | 2014-04-24 |
| 1518399229 | Restoration Community Services LLC | Clinic/Center | 3044 Elgin St, Baton Rouge, LA 70805-7311 | 2013-08-05 |
| 1952507782 | Generations Behavioral Health, Inc. | Clinic/Center | 10425 Plaza Americana Dr, Baton Rouge, LA 70816-8188 | 2007-06-27 |
| 1679775787 | Shout Out Usa | Clinic/Center | 547 N Carrollton Ave, Baton Rouge, LA 70806-2702 | 2007-06-01 |
| 1013127166 | Serenity Center LLC | Clinic/Center | 1023 N Lobdell Ave, Baton Rouge, LA 70806-2233 | 2007-05-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70815 |
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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.