Organization Active NPI

Southern Mental Health Wellness & Trauma Recovery Center, LLC

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1487459525
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUTHERN MENTAL HEALTH WELLNESS & TRAUMA RECOVERY CENTER, LLC
Practice address
12320 Highway 44 Ste 3D
Gonzales, LA 70737-2202
Phone
(225) 252-8621
Fax
(225) 427-8504
NPI assigned
Feb 13, 2025
Organization subpart
Yes
Parent organization
DAWN WOMACK LCSW, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Dawn WomackNPI 1538437678
Title
LCSW
Phone
(225) 252-8621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12320 Highway 44 Ste 3D
Gonzales, LA 70737-2202

Mailing address

2311 Dartmouth Hill CT
Katy, TX 77493-3533
Phone (225) 252-8621

Other names 1

  • Dawn Lundin Child & Adolescent Counseling, LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
Dawn Lundin Child Adolescent Counseling LLC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1487459525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 DARTMOUTH HILL CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933533",
            "telephone_number": "225-252-8621",
            "fax_number": "225-427-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 HIGHWAY 44 STE 3D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372202",
            "telephone_number": "225-252-8621",
            "fax_number": "225-427-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MENTAL HEALTH WELLNESS & TRAUMA RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAWN WOMACK LCSW, LLC",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "225-252-8621"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn Lundin Child & Adolescent Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.