NPIMap

Organization Active NPI

Lake Wellness Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houma, LA
National Provider Identifier
1982161626
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
1340 W Tunnel Blvd Ste 212
Houma, LA 70360-2818
Phone
(985) 306-5253
Fax
(985) 333-1717
NPI assigned
Mar 1, 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
George Roussel
Title
Owner
Phone
(337) 703-0880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1340 W Tunnel Blvd Ste 212
Houma, LA 70360-2818

Mailing address

PO Box 53038
Lafayette, LA 70505-3038
Phone (337) 781-3408

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.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1982161626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53038",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053038",
            "telephone_number": "337-781-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W TUNNEL BLVD STE 212",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602818",
            "telephone_number": "985-306-5253",
            "fax_number": "985-333-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-703-0880"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, 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.