Applegate Recovery Lake Charles

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

APPLEGATE RECOVERY LAKE CHARLES

Practice address

617 W Prien Lake Rd
Ste: L
Lake Charles, LA 70601-8386

Phone

(337) 540-7184

NPI assigned

Nov 8, 2010

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Woodward

Title

Program Director

Phone

(337) 540-7184

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1205137197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W PRIEN LAKE RD",
            "address_2": "STE: L",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018386",
            "telephone_number": "337-540-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PRIEN LAKE RD",
            "address_2": "STE: L",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018386",
            "telephone_number": "337-540-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE RECOVERY LAKE CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "337-540-7184"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Antoine, BS
• Apollo Medical Group of Lake Charles LLC
• Kofi Appiah
• Morgan Leanne Appleby
• Applegate Health Services, Inc. (AppleGate Recovery of Lake Charles)
• Raymond Keith Appling, L.C.S.W.
• Cynthia Jean Aquilina, LCSW
• Cynthia L Arabie, CFNP
• Jennifer Arabie
• Robert A. Arango, D.P.M.

• Health Service Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.