NPIMap

Organization Active NPI

Enlighten Behavioral Healthcare LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverview, FL
National Provider Identifier
1699348516
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ENLIGHTEN BEHAVIORAL HEALTHCARE LLC
Practice address
10810 Boyette Rd # 3341
Riverview, FL 33569-8000
Phone
(813) 300-2846
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Mickoria Smith
Title
Ceo
Phone
(813) 300-2846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

10810 Boyette Rd # 3341
Riverview, FL 33569-8000

Mailing address

10810 Boyette Rd # 3341
Riverview, FL 33569-8000
Phone (813) 300-2846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1699348516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 BOYETTE RD # 3341",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698000",
            "telephone_number": "813-300-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 BOYETTE RD # 3341",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698000",
            "telephone_number": "813-300-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICKORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-300-2846"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.