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LAKE CHARLES ADDICTION AND WELLNESS CENTER

Mental Health (Including Community Mental Health Center)

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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 Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

 261QM0801X B4[14] Community Mental Health Center
 

Addiction (Substance Use Disorder)

 101YA0400X
 

Multi-Specialty

 261QM1300X 70 Clinic or Group Practice
 

Rehabilitation, Substance Use Disorder

 261QR0405X
Indicates primary specialty

NPI Profile & details for LAKE CHARLES ADDICTION AND WELLNESS CENTER

NPI # 1174162762
LBN Legal business name LAKE CHARLES ADDICTION AND WELLNESS CENTER
Authorized official STEPHANIE BOYD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2019
Last updated 08/27/2024 - More than a year ago
Identifiers
DE Medicaid 1184754723
LA Medicaid 1447703251
LA Medicaid 1457807828
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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