Organization · Type 2 NPI
Lake Wellness Center, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Boutte, LA
NPI number
1740824507
Active
Practice location
13371 Highway 90 Ste B
Boutte, LA 70039-3005
Mailing address
PO Box 53388
Lafayette, LA 70505-3388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1740824507
Lake Wellness Center, LLC's National Provider Identifier is 1740824507, issued on Nov 4, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Boutte, LA. The record was last updated on Nov 14, 2025.