PREMIER DETOX SERVICES LLC NPI 1164234449

NPI Information

  • NPI: 1164234449
  • Provider Name: PREMIER DETOX SERVICES LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 7870 94TH AVE
    VERO BEACH, FL
    ZIP 32967
  • Phone: (772) 400-7492

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NPI Details

PREMIER DETOX SERVICES LLC is a rehabilitation and substance use disorder clinic center in Vero Beach, FL. PREMIER DETOX SERVICES LLC NPI is 1164234449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7870 94TH AVE
VERO BEACH, FL
ZIP 32967-200
Phone: (772) 400-7492

The provider's authorized official is Theresa Luna .
The authorized official title is Owner/don and has the following contact phone number (772) 400-7492.

The enumeration date for this NPI number is 1/23/2025 and was last updated on 1/23/2025.

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
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
2174200000XMealsNo
3251B00000XCase ManagementNo
4251F00000XHome InfusionNo
5251J00000XNursing CareNo
6253Z00000XIn Home Supportive CareNo
7261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
8347C00000XPrivate VehicleNo

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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