Clear Springs Healthcare LLC

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

3551-3552 Issued in TX

Legal business name

CLEAR SPRINGS HEALTHCARE LLC

Doing business as

The Ranch at Clear Springs

Practice address

3662 Patton Lake Rd
Aquilla, TX 76622-2590

Phone

(469) 209-6200

Fax

(254) 829-1122

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John S Lacy

Title

Chief Operating Officer

Phone

(469) 209-6200

Specialties & licenses 1

Addresses

Other names 1

• The Ranch at Clear Springs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Whisman Abbruzzese, LPC

  • Professional Counselor
  • Waco, TX
  • NPI 1316481088
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1467709089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 PATTON LAKE RD",
            "city": "AQUILLA",
            "state": "TX",
            "postal_code": "766222590",
            "telephone_number": "469-209-6200",
            "fax_number": "254-829-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 PATTON LAKE RD",
            "city": "AQUILLA",
            "state": "TX",
            "postal_code": "766222590",
            "telephone_number": "469-209-6200",
            "fax_number": "254-829-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SPRINGS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "469-209-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "TX",
            "license": "3551-3552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ranch at Clear Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aquilla Isd
• Backroads Therapy LLC
• Glenn Edward Gray Jr., LCSW
• Brittany Harrison
• Leslie Elizabeth Hunt, LPC, LCDC

• Substance Use Disorder Rehabilitation Hospital Unit in Aquilla, TX
• Providers in Aquilla, TX by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.