Substance Abuse Guidance and Education, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SUBSTANCE ABUSE GUIDANCE AND EDUCATION, LLC

Practice address

3980 Boat Club Rd Ste 207
Lake Worth, TX 76135-3207

Phone

(817) 238-9911

Fax

(817) 237-5711

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Correan Lynn Brown, LCDC

Title

Exe. Director

Phone

(512) 698-4951

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1609466069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHURCHILL CIR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760852821",
            "telephone_number": "817-238-9911",
            "fax_number": "817-237-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 BOAT CLUB RD STE 207",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353207",
            "telephone_number": "817-238-9911",
            "fax_number": "817-237-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE GUIDANCE AND EDUCATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CORREAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXE. DIRECTOR",
        "authorized_official_telephone_number": "512-698-4951",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sage_treatment@outlook.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3980 Boat Club Rd Ste 207",
            "city": "Lake Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761353207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Powell
• Pamela A Roach, DO, PH.D
• Maureena Thavy Sam, RPH
• Christina Renee Sherrod, MD
• Jamie K Singley, DDS
• Kristal Dawn Taylor, NP
• Bruce L. Thompson, RPH
• Mark Thompson, DPM
• Kim Anh T. Trinh, PHARMD
• Jonathan Nicholas Valamides, O.D.

• Addiction (Substance Use Disorder) Counselor in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.