LAKE WELLNESS CENTER LLC NPI 1740824507

NPI Information

  • NPI: 1740824507
  • Provider Name: LAKE WELLNESS CENTER, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 19D2177078
  • Address: 13371 HIGHWAY 90 STE B
    BOUTTE, LA
    ZIP 70039
  • Phone: (888) 488-5253

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NPI Details

LAKE WELLNESS CENTER, LLC is a rehabilitation and substance use disorder clinic center in Boutte, LA. LAKE WELLNESS CENTER, LLC NPI is 1740824507. The provider is registered as an organization entity type.

The provider's business location address is:

13371 HIGHWAY 90 STE B
BOUTTE, LA
ZIP 70039-005
Phone: (888) 488-5253

The provider's authorized official is Joy Louviere .
The authorized official title is Corporate Liaison and has the following contact phone number (337) 233-1114.

The CLIA number assigned to this NPI record is 19D2177078 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 11/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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