Organization Active NPI

Stephanie's Family Treatment Group LLC

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
National Provider Identifier
1760806764
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
STEPHANIE'S FAMILY TREATMENT GROUP LLC
Practice address
3613 Coconut Rd
Lake Worth, FL 33461-3585
Phone
(561) 502-0305
Fax
(772) 872-5287
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Mr. Dexter D Head
Title
Facility Manager
Phone
(772) 219-4041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X FL Primary

Addresses

Primary practice location

3613 Coconut Rd
Lake Worth, FL 33461-3585

Mailing address

3613 Coconut Rd
Lake Worth, FL 33461-3585
Phone (561) 502-0305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1760806764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 COCONUT RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613585",
            "telephone_number": "561-502-0305",
            "fax_number": "772-872-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 COCONUT RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613585",
            "telephone_number": "561-502-0305",
            "fax_number": "772-872-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE'S FAMILY TREATMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "772-219-4041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.