Earth Essence Spa Therapy, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MA 50419 Issued in FL

Legal business name

EARTH ESSENCE SPA THERAPY, LLC

Doing business as

Earth Essence SPA Therapy

Practice address

13747 50TH PL N
Royal Palm Beach, FL 33411-8155

Phone

(561) 876-2421

Fax

(561) 282-6673

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Suzette S Preble, LMT

Title

Owner

Phone

(561) 790-3591

Specialties & licenses 1

Addresses

Other names 1

• Earth Essence SPA Therapy Doing business as

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1225218241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13747 50TH PL N",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118155",
            "telephone_number": "561-876-2421",
            "fax_number": "561-282-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 50TH PL N",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118155",
            "telephone_number": "561-876-2421",
            "fax_number": "561-282-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH ESSENCE SPA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "PREBLE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-790-3591",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "MA 50419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earth Essence SPA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Duenas Romeu
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• Tara Marie Eaton, OTR/L
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.