LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY NPI 1578551198

NPI Information

  • NPI: 1578551198
  • Provider Name: LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • Address: 1750 17TH ST STE J2
    SARASOTA, FL
    ZIP 34234
  • Phone: (941) 366-5333

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NPI Details

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 .

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 6/3/2025.

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
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3284300000XSpecial HospitalNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5261QR0405XClinic/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
1003605400MEDICAIDFLORIDA

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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