1. Home
  2. Directory
  3. Mississippi
  4. Biloxi
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC
NPI 1376157032
Substance Abuse Rehabilitation Facility in Biloxi, MS

Active since September 01, 2020
152 GATEWAY DR, BILOXI, MS 39531(225) 924-1910 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodlake Addiction Recovery Of Mississippi, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC (NPI 1376157032) is a healthcare organization registered as a substance abuse rehabilitation facility in Biloxi, Mississippi and active in the NPI registry since September 2020. The organization lists Kendall Mccullar, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1376157032
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC
Location Address152 GATEWAY DRBiloxi, MS 39531-4409
Mailing AddressPo Box 41853Baton Rouge, LA 70835-1853 · (225) 900-8940 · Fax (855) 532-9362
Phone(225) 924-1910
Organization SubpartYesParent: Woodlake Management, Llc
Authorized OfficialKendall MccullarCredentialing Specialist · (225) 900-8940
Enumeration DateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1376157032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
152 GATEWAY DR, Biloxi, MS 39531
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES JOSEPH MORRIS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (228) 388-0691
DAVID MATTHEW MITCHELL LPC
Counselor (Professional)
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (228) 697-0019
MRS. TERANIKA DOUGLAS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (228) 388-0691
BILOXI HMA PHYSICIAN MANAGEMENT LLC
Psychiatry & Neurology (Psychiatry)
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (228) 388-0691
DOROTHY DENISE ADAMS NP
Nurse Practitioner
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (337) 347-7371
DR. SREELATHA R. PULAKHANDAM M.D.
Psychiatry & Neurology (Psychiatry)
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (228) 388-0600
OCEANS MISSISSIPPI MEDICAL GROUP LLC
Psychiatry & Neurology (Geriatric Psychiatry)
152 GATEWAY DR
BILOXI, MS 39531
Harrison County (337) 210-4477

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 Woodlake Addiction Recovery Of Mississippi, LLC's NPI number?

The NPI number for Woodlake Addiction Recovery Of Mississippi, LLC is 1376157032. It was assigned to this organization in the NPPES registry on September 1, 2020.

Where is Woodlake Addiction Recovery Of Mississippi, LLC located?

Woodlake Addiction Recovery Of Mississippi, LLC is located at 152 Gateway Dr, Biloxi, MS 39531. The listed phone number is (225) 924-1910.

What is Woodlake Addiction Recovery Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Woodlake Addiction Recovery Of Mississippi, LLC was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.