WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC – NPI #1376157032
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC is a substance abuse rehabilitation facility located in BILOXI, MS. NPPES has assigned the NPI number 1376157032 to WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC on September 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC below.

NPI Profile for
WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC

NPI Number
1376157032
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC
Primary location
152 GATEWAY DR
BILOXI, MS 39531-4409
Phone: (225) 924-1910 Fax:
Mailing address
PO BOX 41853
BATON ROUGE, LA 70835-1853
Phone: (225) 900-8940 Fax: (855) 532-9362
Organization Subpart
Yes - WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC is subpart of another organization.
Authorized Official
KENDALL MCCULLAR
CREDENTIALING SPECIALIST
Phone: (225) 900-8940
Updated
Certification Date
Sep 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.