NPIMap

Organization Active NPI

Elite Medical Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
National Provider Identifier
1346644606
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELITE MEDICAL WELLNESS LLC
Practice address
2802 Hodges St
Lake Charles, LA 70601-7368
Phone
(337) 419-1873
Fax
(337) 656-2848
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Dr. Patrick Hayes, M.D.NPI 1619052461
Title
M.D./Owner
Phone
(337) 419-1873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2802 Hodges St
Lake Charles, LA 70601-7368

Mailing address

2802 Hodges St
Lake Charles, LA 70601-7368
Phone (337) 419-1873

National Provider Directory

National Provider Directory

Locations

2802 Hodges St
Lake Charles, LA 70601
Phone (337) 419-1873

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1346644606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017368",
            "telephone_number": "337-419-1873",
            "fax_number": "337-656-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017368",
            "telephone_number": "337-419-1873",
            "fax_number": "337-656-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "337-419-1873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.