Lake Wellness Center, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Houma, LA. Organization (NPI-2).
NPI number1982161626
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1982161626
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Wellness Center, LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2019
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
1340 W Tunnel Blvd Ste 212Houma, LA 70360-2818
Phone 985-306-5253 · Fax 985-333-1717
Mailing address
Po Box 53038Lafayette, LA 70505-3038
Phone 337-781-3408
Authorized official
George Roussel
Owner
3377030880
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