ELEVATION RECOVERY INC (NPI# 1396155420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396155420 |
Entity Type | Organization |
Organization Name | ELEVATION RECOVERY INC |
Other Organization Name | BRIDGE TO FAITH |
Practice Address |
1509 N Military Trl West Palm Beach FL 33409-4765 |
Practice Telephone | 5613855253 |
Practice Fax Number | 5616839279 |
Mailing Telephone | 5613855253 |
Mailing Fax Number | 5616839279 |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-10-14 |
Authorized Official Name | MRS. ANGELA WALKER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5613855253 |
Authorized Official Credential | MS CAP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers | |
N | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers | |
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers | |
Y | 324500000X | Substance Abuse Rehabilitation Facility | 1550AD404201 | FL | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Bridge to Faith | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972969277 | Elevation Recovery Inc | Substance Abuse Rehabilitation Facility | 1509 N Military Trl Ste 100, West Palm Beach, FL 33409-4765 | 2016-01-04 |
1609231653 | Elevation Recovery Inc | Clinic/Center | 1509 N Military Trl, West Palm Beach, FL 33409-4765 | 2015-12-17 |
Street Address |
1509 N MILITARY TRL |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33409-4765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821645581 | Josiah Lamerson | Social Worker | 1509 N Military Trl, West Palm Beach, FL 33409-4765 | 2019-08-19 |
1609231653 | Elevation Recovery Inc | Clinic/Center | 1509 N Military Trl, West Palm Beach, FL 33409-4765 | 2015-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
Find all providers in zip 33409 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
1366002156 | Evernia Health Center, LLC | Substance Abuse Rehabilitation Facility | 950 Evernia St Ste 311-320, West Palm Beach, FL 33401-5735 | 2019-06-14 |
1164087458 | Heal Behavioral Health Inc. | Substance Abuse Rehabilitation Facility | 1700 Okeechobee Rd Ste 101, West Palm Beach, FL 33409-5229 | 2019-05-02 |
1366933012 | Clean & Sober Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 901 Northpoint Pkwy Ste 303, West Palm Beach, FL 33407-1953 | 2018-05-29 |
1063914349 | Chapel Hill Medical Services LLC | Substance Abuse Rehabilitation Facility | 4308 Miller Ave, West Palm Beach, FL 33405-2628 | 2018-03-02 |
1295249993 | Clear Minds Health Services LLC | Substance Abuse Rehabilitation Facility | 1738 N Military Trl, West Palm Beach, FL 33409-4714 | 2017-11-17 |
1275058810 | The Recovery House Detox | Substance Abuse Rehabilitation Facility | 3809 Australian Ct, West Palm Beach, FL 33407-3911 | 2017-08-04 |
1598206658 | Delray Recovery Center | Substance Abuse Rehabilitation Facility | 5402 East Ave, West Palm Beach, FL 33407-2344 | 2017-03-09 |
1548703259 | Treatment Centers of North America | Substance Abuse Rehabilitation Facility | 777 South Flagler Dr, West Tower/suite #800, West Palm Beach, FL 33401 | 2016-11-29 |
Find all providers in WEST PALM BEACH |
City | WEST PALM BEACH |
Zip Code | 33409 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.