LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC. NPI 1184111494

NPI Information

NPI: 1184111494
Provider Name: LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

Doing Business As: LAGS RECOVERY CENTERS

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-8581
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LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. is an addiction (substance use disorder) counselor in San Luis Obispo, CA. LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. NPI is 1184111494. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lags Recovery Centers.

The provider's business location address is:

1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA
ZIP 93401-167
Phone: (805) 541-8581

The provider's authorized official is Amy D'amato .
The authorized official title is Contracts Manager and has the following contact phone number (805) 264-3388.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes
3	103T00000X	Psychologist		No
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
5	106H00000X	Marriage & Family Therapist		No
6	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
7	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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