Provider Demographics
NPI:1134638174
Name:AIMWELL CENTER LLC
Entity Type:Organization
Organization Name:AIMWELL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CLIFTON
Authorized Official - Last Name:ESTIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD CSW
Authorized Official - Phone:318-235-9735
Mailing Address - Street 1:1106 STUBBS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5641
Mailing Address - Country:US
Mailing Address - Phone:318-816-5329
Mailing Address - Fax:
Practice Address - Street 1:219 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-6520
Practice Address - Country:US
Practice Address - Phone:318-816-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203783342276400000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit