| Applegate Health Services, Inc. | |
|
617 W Prien Lake Rd Suite L Lake Charles LA 70601-8386 | |
| (337) 540-7184 | |
| Not Available |
| Full Name | Applegate Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 617 W Prien Lake Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Bruce Michael Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applegate Health Services, Inc. 3303 Central Expy Suite 210 Plano TX 75023-6913 Ph: (972) 578-2333 | Applegate Health Services, Inc. 617 W Prien Lake Rd Suite L Lake Charles LA 70601-8386 Ph: (337) 540-7184 |
| NPI Number | 1346775210 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346775210 | NPI | - | NPPES |
| 2203786133 | Other | LA | BEHAVIORAL HEALTH SERVICE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 00000 (Louisiana) | Primary |
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