Organization Active NPI

Florida Treatment Services

  • Community/Behavioral Health Agency
  • Crestview, FL
National Provider Identifier
1801508437
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORIDA TREATMENT SERVICES
Practice address
5713 Highway 85 N
Crestview, FL 32536-9008
Phone
(850) 801-1379
Fax
(833) 411-1264
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA TREATMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mr. Larry Coplin
Title
Executive Director
Phone
(727) 284-8618

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Methadone Clinic 261QM2800X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5713 Highway 85 N
Crestview, FL 32536-9008

Mailing address

13553 State Route 54
Ste 309
Odessa, FL 33556
Phone (727) 284-8618

National Provider Directory

National Provider Directory
Tax ID family
Florida Treatment Services LLC5 organizations share this tax ID, including this one
Part of
Florida Treatment Services LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5713 Highway 85 N
Crestview, FL 32536
Phone (850) 209-3704

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1801508437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13553 STATE ROUTE 54",
            "address_2": "STE 309",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "33556",
            "telephone_number": "727-284-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 HIGHWAY 85 N",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369008",
            "telephone_number": "850-801-1379",
            "fax_number": "833-411-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA TREATMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA TREATMENT SERVICES",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "COPLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-284-8618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.