Prisma Recovery Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PRISMA RECOVERY CENTER LLC

Practice address

7205 Cypress Dr
Fort Myers, FL 33907-2975

Phone

(772) 812-9652

Fax

(833) 535-0164

NPI assigned

Oct 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jared Turner

Title

Billing Manager

Phone

(772) 812-9652

Specialties & licenses 3

Addresses

Tax ID family

Prisma Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prisma Recovery Center LLC

  • Psychiatric Residential Treatment Facility
  • Fort Myers, FL
  • NPI 1770327207
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1093587685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N FEDERAL HWY STE 206",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603493",
            "telephone_number": "772-812-9652",
            "fax_number": "833-535-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 CYPRESS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072975",
            "telephone_number": "772-812-9652",
            "fax_number": "833-535-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "772-812-9652"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Pringle, PHARMD.
• Tara Jill Printz, APRN
• Brandee Prinze, SLP
• Julia Helen Prior, CRNA
• Priority Health Medical Center
• Prisma Recovery Center LLC
• Robert Bernie Pritt, D.O.
• Pro Therapy Services Inc
• Jansi Probakaran, MD
• James Domonic Proce, RN, BS, MS, ARNP

• Substance Abuse Rehabilitation Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.