LAKE WELLNESS CENTER, LLC; NPI #1740824507

Contact Information

LAKE WELLNESS CENTER, LLC

13371 HIGHWAY 90 STE B
BOUTTE, LA 70039-3005

Phone: 888-488-5253
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for LAKE WELLNESS CENTER, LLC

NPI Number	`1740824507`
LBN Legal business name	LAKE WELLNESS CENTER, LLC
Authorized official	JOY LOUVIERE - (CORPORATE LIAISON)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/04/2019
Last updated	11/14/2025 - About 7 months ago
Identifiers	n/a

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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