PRISMA RECOVERY CENTER LLC NPI 1093587685

NPI Information

  • NPI: 1093587685
  • Provider Name: PRISMA RECOVERY CENTER LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 10D2298258
  • Address: 7205 CYPRESS DR
    FORT MYERS, FL
    ZIP 33907
  • Phone: (772) 812-9652

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NPI Details

PRISMA RECOVERY CENTER LLC is a substance abuse rehabilitation facility in Fort Myers, FL. The provider is 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. PRISMA RECOVERY CENTER LLC NPI is 1093587685. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7205 CYPRESS DR
FORT MYERS, FL
ZIP 33907-975
Phone: (772) 812-9652
Fax: (833) 535-0164

The provider's authorized official is Jared Turner .
The authorized official title is Billing Manager and has the following contact phone number (772) 812-9652.

The CLIA number assigned to this NPI record is 10D2298258 - other - detoxification center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 1/28/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2323P00000XPsychiatric Residential Treatment FacilityNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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