CYPRESS LAKE LODGE NPI 1831642933

NPI Information

  • NPI: 1831642933
  • Provider Name: CYPRESS LAKE LODGE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 45D2125547
  • Address: 1129 US HIGHWAY 287
    WOODVILLE, TX
    ZIP 75979
  • Phone: (281) 384-7815

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NPI Details

CYPRESS LAKE LODGE is a substance abuse rehabilitation facility in Woodville, TX. 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. CYPRESS LAKE LODGE NPI is 1831642933. The provider is registered as an organization entity type.

The provider's business location address is:

1129 US HIGHWAY 287
WOODVILLE, TX
ZIP 75979-722
Phone: (281) 384-7815
Fax: (713) 527-8558

The provider's authorized official is James Flowers .
The authorized official title is Ceo and has the following contact phone number (713) 568-1210.

The CLIA number assigned to this NPI record is 45D2125547 - other - substance abuse ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2016 and was last updated on 7/26/2016.

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
1324500000XSubstance 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: 11/21/2025

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