Active NPI
Namaste Recovery Center LLC
- Substance Abuse Rehabilitation Facility
- Fort Pierce, FL
National Provider Identifier
1457130346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- NAMASTE RECOVERY CENTER LLC
- Doing business as
- Live Oak Detox
- Practice address
- 912 Avenue I
Fort Pierce, FL 34950-2237 - Phone
- (877) 716-4464
- Fax
- (772) 241-5795
- NPI assigned
- Sep 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cody Neeley, LCSW
- Title
- Ceo
- Phone
- (877) 716-4464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
912 Avenue I
Fort Pierce, FL 34950-2237
Mailing address
912 Avenue I
Fort Pierce, FL 34950-2237
Phone (877) 716-4464
Other names 1
- Live Oak Detox
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2292334 | Namaste Recovery Center LLC | Certificate of waiver | Oct 23, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1457130346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 AVENUE I",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349502237",
"telephone_number": "877-716-4464",
"fax_number": "772-241-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 AVENUE I",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349502237",
"telephone_number": "877-716-4464",
"fax_number": "772-241-5795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAMASTE RECOVERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-28",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "NEELEY",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-716-4464",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Live Oak Detox",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Live Oak Detox",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.