Organization Active NPI

Peace of Mind Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Loxahatchee, FL
National Provider Identifier
1184094567
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PEACE OF MIND RECOVERY LLC
Practice address
7040 Seminole Pratt Whitney Rd
25-160
Loxahatchee, FL 33470-5714
Phone
(954) 598-4215
Fax
(954) 623-7627
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Alexandra Taylor Blakely, M.D.
Title
Owner
Phone
(954) 598-4215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7040 Seminole Pratt Whitney Rd
25-160
Loxahatchee, FL 33470-5714

Mailing address

7040 Seminole Pratt Whitney Rd
25-160
Loxahatchee, FL 33470-5714
Phone (954) 598-4215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1184094567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 SEMINOLE PRATT WHITNEY RD",
            "address_2": "25-160",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334705714",
            "telephone_number": "954-598-4215",
            "fax_number": "954-623-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 SEMINOLE PRATT WHITNEY RD",
            "address_2": "25-160",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334705714",
            "telephone_number": "954-598-4215",
            "fax_number": "954-623-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR BLAKELY",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-598-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.