Life Tracks Treatment Center LLC.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MH8360 Issued in FL

Legal business name

LIFE TRACKS TREATMENT CENTER LLC.

Practice address

100 S Military TRL
Suite 7
Deerfield Beach, FL 33442-3015

Phone

(954) 800-4111

Fax

(954) 800-4112

NPI assigned

May 7, 2015

Last updated

May 7, 2015By 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. Alejandro Lazaro Castillo, LMHC, LMFT, CAP

Title

Clinical Director

Phone

(954) 800-4111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1699153957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "SUITE 7",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-800-4111",
            "fax_number": "954-800-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "SUITE 7",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-800-4111",
            "fax_number": "954-800-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRACKS TREATMENT CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "LAZARO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-800-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, LMFT, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH8360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.