Active NPI
STC Wellness Center, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
National Provider Identifier
1649630328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- STC WELLNESS CENTER, INC
- Doing business as
- St. Christopher's
- Practice address
- 150 Cora Dr
Baton Rouge, LA 70815-4201 - Phone
- (225) 387-1611
- Fax
- (225) 343-5300
- NPI assigned
- Feb 24, 2016
- Organization subpart
- Yes
- Parent organization
- STC ADDICTION WELLNESS CENTER, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dwayne J Beason
- Title
- Ceo/President
- Phone
- (225) 387-1611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
150 Cora Dr
Baton Rouge, LA 70815-4201
Mailing address
150 Cora Dr
Baton Rouge, LA 70815-4201
Phone (225) 387-1611
Other names 1
- St. Christopher's
National Provider Directory
National Provider Directory- Part of
- STC Addiction Wellness Center Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Substance Abuse Rehabilitation Facility
- Baton Rouge, LA
- NPI 1093726978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456272000000",
"number": "1649630328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CORA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708154201",
"telephone_number": "225-387-1611",
"fax_number": "225-343-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CORA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708154201",
"telephone_number": "225-387-1611",
"fax_number": "225-343-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STC WELLNESS CENTER, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STC ADDICTION WELLNESS CENTER, INC",
"enumeration_date": "2016-02-24",
"last_updated": "2016-02-24",
"status": "A",
"authorized_official_last_name": "BEASON",
"authorized_official_first_name": "DWAYNE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "225-387-1611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Christopher's",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.