Organization Active NPI

STC Wellness Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1649630328
Registry record updated Feb 24, 2016
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
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.