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TLC RECOVERY CENTER OF S FLORIDA LLC NPI 1750718714


NPI Information

NPI: 1750718714
Provider Name: TLC RECOVERY CENTER OF S FLORIDA, LLC

Doing Business As: EVOLUTIONS TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2901 W CYPRESS CREEK RD STE 123
FORT LAUDERDALE, FL
ZIP 33309
Phone: (954) 915-7444
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TLC RECOVERY CENTER OF S FLORIDA, LLC is a substance abuse rehabilitation facility in Fort Lauderdale, 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. TLC RECOVERY CENTER OF S FLORIDA, LLC NPI is 1750718714. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evolutions Treatment Center.

The provider's business location address is:

2901 W CYPRESS CREEK RD STE 123
FORT LAUDERDALE, FL
ZIP 33309-732
Phone: (954) 915-7444
Fax: (954) 206-0372

The provider's authorized official is Gedale Fenster .
The authorized official title is Ceo and has the following contact phone number (305) 725-8790.

The enumeration date for this NPI number is 10/3/2013 and was last updated on 9/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2261QA0600XClinic/CenterAdult Day CareNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4323P00000XPsychiatric Residential Treatment FacilityNo
5324500000XSubstance Abuse Rehabilitation Facility1706AD153701FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1569681OTHERFLORIDATHE JOINT COMMISSION

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.