Lantana Recovery of Connecticut, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LANTANA RECOVERY OF CONNECTICUT, LLC

Practice address

143 West St
New Milford, CT 06776-3599

Phone

(203) 598-2738

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Alan Goodstat, LCSW

Title

Board Member

Phone

(954) 415-0758

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demi Elizabeth Lewis, MA

  • Addiction (Substance Use Disorder) Counselor
  • Charleston, SC
  • NPI 1962135293
  NPD
• Allyson Lacey Maguire, LPC--A, NCC

  • Professional Counselor
  • Charleston, SC
  • NPI 1356072888
  NPD
• Drew Alan O'Connell, BA, ADC-IP

  • Addiction (Substance Use Disorder) Counselor
  • Charleston, SC
  • NPI 1043946114
  NPD
• Chantal Stith, MSN, APRN, PMHNP-BC

  • Nurse Practitioner
  • Charleston, SC
  • NPI 1710698873
  NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1811754773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GADSDEN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WEST ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763599",
            "telephone_number": "203-598-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTANA RECOVERY OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GOODSTAT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "954-415-0758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Tully Krawec, R.D.
• Jessica Labarca, MA, ATR-BC, LPC
• Abigail Lacey, MSN, CNM
• Jenny M. Lamesa, PHARMD
• Timothy Michael Lampron, ATC
• Lindsey Laughinghouse
• Glenn Edward Lavallee, MSPT
• LB Dot and Chiropractic LLC
• Kara Anne Leake, OTR/L
• Elona Lekaj

• Substance Use Disorder Rehabilitation Clinic/Center in New Milford, CT
• Providers in New Milford, CT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.