institution
Lake Charles Addiction And Wellness Center
Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Charles, Louisiana
NPI 1174162762

Lake Charles Addiction And Wellness Center is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lake Charles, LA and is specialized in Mental Health (Including Community Mental Health Center). Lake Charles Addiction And Wellness Center practices in Lake Charles, LA. The NPI Number for Lake Charles Addiction And Wellness Center is 1174162762 and holds a License No. (Louisiana).

The current practice location address for Lake Charles Addiction And Wellness Center is 315 Alamo St, Lake Charles, LA and can be reached out via phone at 337-513-6121. You can also correspond with Lake Charles Addiction And Wellness Center through the mailing address at 2789 CROWN LN, LAKE CHARLES, LA - 70605-8135 (mailing address contact number: 337-513-6121).

Location: 315 Alamo St, Lake Charles, LA, 70605-8135
institution
Provider Profile Details
NPI Number
1174162762
Provider Name
Lake Charles Addiction And Wellness Center
Credential
Provider Entity Type
Organization
Address
315 Alamo St, Lake Charles, LA, 70605-8135
Phone Number
337-513-6121
Fax Number
Provider Enumeration Date
12/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457807828 05 LA
1184754723 05 DE
1447703251 05 LA
institution
Provider Business Practice Location Address Details
Address
315 Alamo St
City
State
Zip
70601-8528
Phone Number
337-513-6121
Fax Number
person
Provider Business Mailing Address Details
Address
2789 Crown Ln
City
State
Zip
70605-8135
Phone Number
337-513-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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