Organization Active NPI

Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boutte, LA
National Provider Identifier
1740824507
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LAKE WELLNESS CENTER, LLC
Practice address
13371 Highway 90 Ste B
Boutte, LA 70039-3005
Phone
(888) 488-5253
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Joy Louviere
Title
Corporate Liaison
Phone
(337) 233-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

13371 Highway 90 Ste B
Boutte, LA 70039-3005

Mailing address

PO Box 53388
Lafayette, LA 70505-3388
Phone (337) 233-1114

National Provider Directory

National Provider Directory
Tax ID family
Lake Wellness Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1740824507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53388",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053388",
            "telephone_number": "337-233-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13371 HIGHWAY 90 STE B",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "700393005",
            "telephone_number": "888-488-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "LOUVIERE",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CORPORATE LIAISON",
        "authorized_official_telephone_number": "337-233-1114"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boutte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.