Stone Love Retreat LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1005270 Issued in FL

Legal business name

STONE LOVE RETREAT LLC

Practice address

3125 Fortune Way Ste 13
Wellington, FL 33414-8783

Phone

(561) 713-4819

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John Saint Luc

Title

Owner

Phone

(561) 713-4819

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1245736057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 FORTUNE WAY STE 13",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148783",
            "telephone_number": "561-713-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 FORTUNE WAY STE 13",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148783",
            "telephone_number": "561-713-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE LOVE RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "SAINT LUC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-713-4819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1005270",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Miller DDS PA
• Steven Ross Crnfa and Cindy Ross Crna,Inc
• Michael Allen Stewart, M.D.
• Laura Stokes-Greene, DVM
• Howard A Stoller, LIC AP
• Krista Marie Strathie, PHARM D
• Lawrence Strong
• Allison J Stuart, L.C.S.W.
• Johnetta Laresa Stubbs
• Nataliya G. Stumbo, D.O.

• Substance Use Disorder Rehabilitation Clinic/Center in Wellington, FL
• Providers in Wellington, 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 Apr 2, 2018; 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.