Organization Active NPI

Fellows First Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Rayville, LA
National Provider Identifier
1710840301
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FELLOWS FIRST RECOVERY LLC
Practice address
116 Ellington Dr
Rayville, LA 71269-3631
Phone
(318) 327-8627
Fax
(318) 855-0644
NPI assigned
Dec 9, 2025
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Annabelle Mize
Title
Owner
Phone
(318) 327-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

116 Ellington Dr
Rayville, LA 71269-3631

Mailing address

116 Ellington Dr
Rayville, LA 71269-3631
Phone (318) 327-8627

Other identifiers 1

IdentifierTypeStateIssuer
2203787099MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1710840301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ELLINGTON DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693631",
            "telephone_number": "318-327-8627",
            "fax_number": "318-855-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ELLINGTON DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693631",
            "telephone_number": "318-327-8627",
            "fax_number": "318-855-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWS FIRST RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "ANNABELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-327-8627"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203787099",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.