LAKE WELLNESS CENTER, LLC (NPI# 1740824507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740824507 |
| Entity Type | Organization |
| Organization Name | LAKE WELLNESS CENTER, LLC |
| Practice Address |
13100 River Rd Destrehan LA 70047-5219 |
| Mailing Address |
Po Box 53388 Lafayette LA 70505-3388 |
| Practice Telephone | 8884885253 |
| Mailing Telephone | 3372331114 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | JOY LOUVIERE (CORPORATE LIAISON) |
| Authorized Official Telephone | 3372331114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
13100 RIVER RD |
| City | DESTREHAN |
| State | LA |
| Zip Code | 70047-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629041777 | Sidney H Raymond | Internal Medicine | 13100 River Rd, Suite 120, Destrehan, LA 70047-5219 | 2006-02-09 |
| 1750749263 | Lafourche Medical Group LLC | Clinic/Center | 13100 River Rd, Suite 100, Destrehan, LA 70047-5203 | 2016-01-29 |
| 1407251903 | Ochsner Clinic LLC | General Practice | 13100 River Rd, Destrehan, LA 70047-5219 | 2014-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326606393 | Tiara W Austin | Non-emergency Medical Transport (VAN) | 129 9th Street, Destrehan, LA 70047 | 2019-06-04 |
| 1376992685 | Maghan Eugene | Counselor | 271 Villere Dr, Destrehan, LA 70047 | 2016-06-07 |
| 1750701264 | Abby Elizabeth Gandolfi | Internal Medicine | 13100 River Rd Ste 200, Destrehan, LA 70047 | 2014-04-23 |
| 1316362304 | Greater New Orleans Eye Care-destrehan LLC | Optometrist | 1 Storehouse Lane, Unit B, Destrehan, LA 70047 | 2014-02-27 |
| 1295023315 | Melissa Marie Arceneaux-myers | Chiropractor | 1950 Ormond Blvd Ste A, Destrehan, LA 70047 | 2011-07-11 |
| 1104058635 | Elizabeth Thorson | Dentist | 159 Longview Dr Ste Longview, Ste A, Destrehan, LA 70047 | 2009-08-18 |
| 1770759979 | Annemarie B Clancy | Speech-Language Pathologist | 290 Bowie Road, Thibodaux, LA 70047 | 2008-05-07 |
| 1508088501 | Linda Fennell | Pharmacist | 128 Nottoway Dr, Destrhan, LA 70047 | 2007-05-02 |
| 1689739971 | Childrens Clinic LLC | Pediatrics | 3 Storehouse Lane, Suite B, Destrehan, LA 70047 | 2006-12-27 |
| 1235204835 | Richard Lee Owens Sr. | Dentist | 124 Longview Dr, Suite 8, Destrehan, LA 70047 | 2006-11-21 |
| Find all providers in zip 70047 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 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 |
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| 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.