National Provider Identifier Database

LAKE CHARLES ADDICTION AND WELLNESS CENTER
Mental Health (Including Community Mental Health Center)

Contact Information

LAKE CHARLES ADDICTION AND WELLNESS CENTER
315 ALAMO ST
LAKE CHARLES, LA  70601-8528
Phone: 337-513-6121
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Addiction (Substance Use Disorder) 101YA0400X
Multi-Specialty 261QM1300X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for LAKE CHARLES ADDICTION AND WELLNESS CENTER

NPI Number 1174162762
Legal business name
LBN		 LAKE CHARLES ADDICTION AND WELLNESS CENTER
Authorized official STEPHANIE BOYD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/30/2019
Last updated 08/27/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • DE Medicaid: 1184754723
  • LA Medicaid: 1447703251
  • LA Medicaid: 1457807828

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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