Organization
LAKE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY VIGER (OWNER)
(888) 488-5253
Entity
Organization
Contact information
Practice address
4330 LOVELAND ST STE A, METAIRIE, LA 70006-4179
(504) 736-5253
(504) 676-5252
Mailing address
PO BOX 53038, LAFAYETTE, LA 70505-3038
(888) 488-5253
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/01/2019
Last updated
11/13/2025
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