LAKE WELLNESS CENTER, LLC
NPI 1255898995
Clinic/Center - Rehabilitation, Substance Use Disorder in Lake Charles, LA
About Lake Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE WELLNESS CENTER, LLC (NPI 1255898995) is a healthcare organization registered as a rehabilitation, substance use disorder in Lake Charles, Louisiana and active in the NPI registry since March 2019. The organization holds 2 active CLIA laboratory certificates and lists George Roussel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2177078
Lake Wellness Center, LLC - Boutte · Boutte, LACertificate of Waiver 19D2330530
Lake Wellness Center - Lake Charles · Lake Charles, LAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Wellness Center, LLC's NPI number?
The NPI number for Lake Wellness Center, LLC is 1255898995. It was assigned to this organization in the NPPES registry on March 1, 2019.
Where is Lake Wellness Center, LLC located?
Lake Wellness Center, LLC is located at 2800 1st Ave Ste D, Lake Charles, LA 70601. The listed phone number is (888) 488-5253.
What is Lake Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Lake Wellness Center, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Lake Wellness Center, LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Wellness Center, Llc · NPI 1255898995
Rehabilitation, Substance Use Disorder organization in Lake Charles, Louisiana. Organization record, active in the CMS NPPES registry since March 1, 2019.
## Identity
- **NPI:** 1255898995 (Entity type: Organization)
- **Enumerated:** March 1, 2019
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** George Roussel, OWNER
## Practice location
- **Address:** 2800 1ST AVE STE D, Lake Charles, LA 70601-8884
- **Phone:** (888) 488-5253
## Record status
- **NPPES last updated:** November 14, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255898995) · Data from the CMS NPPES public registry.