Life Changes Addiction Treatment Center of the Palm Beaches

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES

Practice address

900 Osceola Dr
Suite 200 a/B
West Palm Beach, FL 33409-5000

Phone

(561) 331-8701

Fax

(772) 337-8505

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Rae

Title

Assistant to Ceo

Phone

(772) 337-8500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celia Nicole Eissey, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1376079921
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1174954739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR",
            "address_2": "SUITE 200 A/B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095000",
            "telephone_number": "561-331-8701",
            "fax_number": "772-337-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR",
            "address_2": "SUITE 200 A/B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095000",
            "telephone_number": "561-331-8701",
            "fax_number": "772-337-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES ADDICTION TREATMENT CENTER OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ASSISTANT TO CEO",
        "authorized_official_telephone_number": "772-337-8500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Mead Lichtenstein, M.S., CCC-SLP
• Lidia Suarez DDS Inc
• Cara Pierce Liebert, M.S.
• Eric M Lieman, DPT
• Life Care Medical Group Inc
• Life Counseling Outpatient Services Inc
• Life Counseling Professional Services, LLC
• Life Group Psychotherapy, Inc
• Life Recovery of the Palm Beaches
• Life Recovery of the Palm Beaches

• Substance Use Disorder Rehabilitation Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.