Lavia Detox and Trreatment Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6135 Issued in FL

Legal business name

LAVIA DETOX AND TRREATMENT CENTER

Practice address

9121 N Military TRL
#205
Palm Beach Gardens, FL 33410-5984

Phone

(561) 575-2289

Fax

(561) 427-0007

NPI assigned

Oct 31, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Sacks, LCSW

Title

Owner/Licensed Clinical Social Work

Phone

(561) 575-2020

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1861897902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "#205",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-575-2289",
            "fax_number": "561-427-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "#205",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-575-2289",
            "fax_number": "561-427-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVIA DETOX AND TRREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "561-575-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6135",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• (Howard) Keith Latham, AP
• Kim Lisa Lauber
• Gary L Laukhuf, D.D.S., M.S.D.
• Lauren R Rosecan Mdpa
• Fritziana Laurent
• Adrian M Lavina, MD
• Simisola Olatokunbo Lawal
• Lawrence Lottenberg MD PA
• Bailey Lawrence, RN
• Robert Lee Lawrence, DC

• Clinical Social Worker in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.