Lake Wellness Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAKE WELLNESS CENTER, LLC

Practice address

7434 Picardy Ave Ste a&B
Baton Rouge, LA 70808-7204

Phone

(225) 470-5253

Fax

(225) 900-7474

NPI assigned

Mar 1, 2019

Last updated

Mar 1, 2019By 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

George Roussel

Title

Owner

Phone

(337) 703-0880

Specialties & licenses 2

Addresses

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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, LA
  • NPI 1528525268
  NPD tax ID

Locations

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1346707080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W SAINT MARY BLVD STE 308",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064600",
            "telephone_number": "337-703-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 PICARDY AVE STE A&B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708087204",
            "telephone_number": "225-470-5253",
            "fax_number": "225-900-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Peck Laiche, APRN-CNP, FNP-C
• Firdous Laique, M.D.
• Lak Medical Supplies and Services Inc.
• Lak Medical Supply and Sevices
• Lake Crescent Health LLC
• Lakewood Quarters Assisted 8585 Tenant, LLC (Lakewood Quarters Assisted Living)
• Lakewood Quarters Rehab 8225 Tenant, LLC (Lakewood Quarters Nursing & Rehabilitation Center)
• Mounika Lakhmalla
• Michael Lala, DDS
• Sharon A Lala, LCSW

• Substance Use Disorder Rehabilitation Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• 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 Mar 1, 2019; 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.