National Provider Identifier Database

LAKE WELLNESS CENTER LLC
Rehabilitation, Substance Use Disorder


Contact Information

LAKE WELLNESS CENTER, LLC
13371 HIGHWAY 90 STE B
BOUTTE, LA70039-3005
Phone: 888-488-5253
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for LAKE WELLNESS CENTER, LLC

NPI Number 1740824507
Legal business name
LBN
LAKE WELLNESS CENTER, LLC
Authorized official JOY LOUVIERE - (CORPORATE LIAISON)
Entity Organization
Organization subpart No
Enumeration date 11/04/2019
Last updated 11/14/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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