LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY NPI 1578551198

NPI Information

NPI: 1578551198
Provider Name: LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY

Former Legal Business Name: FIRST STEP OF SARASOTA, INC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1750 17TH ST STE J2
SARASOTA, FL
ZIP 34234
Phone: (941) 366-5333
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LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY is a rehabilitation and substance use disorder clinic center in Sarasota, FL. LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY NPI is 1578551198. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is First Step Of Sarasota, Inc.

The provider's business location address is:

1750 17TH ST STE J2
SARASOTA, FL
ZIP 34234-690
Phone: (941) 366-5333

The provider's authorized official is Katie Brim .
The authorized official title is Contracting Coordinator and has the following contact phone number (941) 366-5333.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 8/2/2023.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	284300000X	Special Hospital		No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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
1	003605400	MEDICAID	FLORIDA

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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