RECOVERY COUNCIL OF SOUTHEAST TEXAS NPI 1073729810

NPI Information

  • NPI: 1073729810
  • Provider Name: RECOVERY COUNCIL OF SOUTHEAST TEXAS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 45D2233064
  • Address: 4675 WASHINGTON BLVD STE C
    BEAUMONT, TX
    ZIP 77707
  • Phone: (409) 842-2408

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NPI Details

RECOVERY COUNCIL OF SOUTHEAST TEXAS is a rehabilitation and substance use disorder clinic center in Beaumont, TX. RECOVERY COUNCIL OF SOUTHEAST TEXAS NPI is 1073729810. The provider is registered as an organization entity type.

The provider's business location address is:

4675 WASHINGTON BLVD STE C
BEAUMONT, TX
ZIP 77707-321
Phone: (409) 842-2408
Fax: (409) 842-2462

The provider's authorized official is Carrie Arriete .
The authorized official title is Director Of Business Operations and has the following contact phone number (409) 842-2408.

The CLIA number assigned to this NPI record is 45D2233064 - other - cdtf chemical depend trtm with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/25/2023.

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 License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder149-149HTEXASNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder149-149FTEXASNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1214802501MEDICAIDTEXAS
2205935402MEDICAIDTEXAS
3218017601MEDICAIDTEXAS

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: 3/30/2025

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