Lake Wellness Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAKE WELLNESS CENTER, LLC

Practice address

2800 1St Ave Ste D
Lake Charles, LA 70601-8884

Phone

(888) 488-5253

NPI assigned

Mar 1, 2019

Organization subpart

No

Name

Mr. George Roussel

Title

Owner

Phone

(337) 703-0880

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maketia Morrison-Williams, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Deridder, LA
  • NPI 1043867708
  NPD (past)
• April Tanner, PLPC

  • Mental Health Counselor
  • Lake Charles, LA
  • NPI 1053943118
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lake Wellness Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1164989802
  NPD tax ID
• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, LA
  • NPI 1306585229
  NPD tax ID
• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Metairie, LA
  • NPI 1518424258
  NPD tax ID
• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boutte, LA
  • NPI 1740824507
  NPD tax ID
• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Covington, LA
  • NPI 1790242436
  NPD tax ID
• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houma, LA
  • NPI 1982161626
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2025.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1255898995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53038",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053038",
            "telephone_number": "888-488-5253",
            "fax_number": "337-703-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 1ST AVE STE D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018884",
            "telephone_number": "888-488-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-703-0880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Charles Senior Care Clinic LLC
• Lake Charles Sports & Rehab
• Lake Charles Urgent Care
• Lake Charles Urgent Care
• Lake Physical Therapy, LLC
• Lakeshore Medic Pharmacy
• Lakeside Optical
• Amanda Deanne Lamb
• Lyela Marie Lambert
• Kerry Lamkin, P.T.

• All providers in Lake Charles, LA
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.