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Stephanie Boyd

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lake Charles, LA

NPI 1457807828 · NPPES record last updated Mar 27, 2023

Key facts

NPI
1457807828
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1395 (LA)
Practice address
315 Alamo St
Lake Charles, LA 70601-8528
Phone
(337) 513-6121
Fax
(877) 794-0365
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Addiction and Wellness Center Addiction (Substance Use Disorder) Current
since Apr 6, 2023		 Accepting new patients

Locations

315 Alamo St
Lake Charles, LA 70601
Phone (337) 513-6121

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1395 LA Yes

Addresses

Primary practice location

315 Alamo St
Lake Charles, LA 70601-8528

Mailing address

2789 Crown LN
Lake Charles, LA 70605-8135
Phone (337) 491-3793

Other practice location 1

2789 Crown Ln
Lake Charles, LA 70605-8135
Phone (337) 491-3793

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.