| Lake Charles Addiction And Wellness Center | |
|
315 Alamo St Lake Charles LA 70601-8528 | |
| (337) 513-6121 | |
| Not Available |
| Full Name | Lake Charles Addiction And Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 315 Alamo St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Stephanie L Boyd (OWNER) |
| Authorized Official Contact | 3375136121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Charles Addiction And Wellness Center 2789 Crown Ln Lake Charles LA 70605-8135 Ph: (337) 513-6121 | Lake Charles Addiction And Wellness Center 315 Alamo St Lake Charles LA 70601-8528 Ph: (337) 513-6121 |
| NPI Number | 1174162762 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174162762 | NPI | - | NPPES |
| 1184754723 | Medicaid | DE | |
| 1457807828 | Medicaid | LA | |
| 1447703251 | Medicaid | LA |
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