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VERO BEACH RECOVERY CENTER LLC NPI 1710558713


NPI Information

NPI: 1710558713
Provider Name: VERO BEACH RECOVERY CENTER LLC

Doing Business As: VERO BEACH RECOVERY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
333 17TH ST STE M
VERO BEACH, FL
ZIP 32960
Phone: (215) 356-2043
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VERO BEACH RECOVERY CENTER LLC is a substance abuse rehabilitation facility in Vero Beach, 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. VERO BEACH RECOVERY CENTER LLC NPI is 1710558713. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vero Beach Recovery Center.

The provider's business location address is:

333 17TH ST STE M
VERO BEACH, FL
ZIP 32960-686
Phone: (215) 356-2043

The provider's authorized official is Theresa A Prescott .
The authorized official title is Chief Executive Officer and has the following contact phone number (215) 356-2043.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 3/9/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TC0700XPsychologistClinicalNo
4103TC1900XPsychologistCounselingNo
5164W00000XLicensed Practical NurseNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7363LP2300XNurse PractitionerPrimary CareNo
8324500000XSubstance 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: 5/5/2024

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