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LAKE WELLNESS CENTER, LLC

Rehabilitation, Substance Use Disorder

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Contact Information

LAKE WELLNESS CENTER, LLC
1340 W TUNNEL BLVD STE 212
HOUMA, LA  70360-2818
 Phone: 985-306-5253
 Fax: 985-333-1717
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
 

Substance Abuse Disorder Rehabilitation Facility

 324500000X
Indicates primary specialty

NPI Profile & details for LAKE WELLNESS CENTER, LLC

NPI Number 1982161626
LBN Legal business name LAKE WELLNESS CENTER, LLC
Authorized official GEORGE ROUSSEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2019
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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