DISC VILLAGE, INC. (NPI# 1487619391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487619391 |
| Entity Type | Organization |
| Organization Name | DISC VILLAGE, INC. |
| Practice Address |
3333 W Pensacola St Tallahassee FL 32304-2888 |
| Practice Telephone | 8505754388 |
| Practice Fax Number | 8505763317 |
| Mailing Telephone | 8505754388 |
| Mailing Fax Number | 8505763317 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS K OLK (CEO) |
| Authorized Official Telephone | 8505754388 |
| Authorized Official Credential | CAPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060600600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1255672192 | Disc Village, Inc. | Community/Behavioral Health | 305b W Crawford St, Quincy, FL 32351-3121 | 2013-03-01 |
| 1417297763 | Disc Village, Inc. | Community/Behavioral Health | 603 S M L King Jr Blvd, Tallahassee, FL 32301 | 2013-02-25 |
| 1609104652 | Disc Village, Inc. | Foster Care Agency | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2009-12-03 |
| 1912077017 | Disc Village, Inc. | Community/Behavioral Health | 69 High Dr, Crawfordville, FL 32327-2032 | 2006-11-08 |
| 1780754853 | Disc Village, Inc. | Community/Behavioral Health | 1476 Sw Main St, Greenville, FL 32331-3149 | 2006-11-08 |
| 1376613463 | Disc Village, Inc. | Community/Behavioral Health | 411 Us Highway 98, Apalachicola, FL 32320-1238 | 2006-11-08 |
| 1497825350 | Disc Village, Inc. | Community/Behavioral Health | 2967 Natural Bridge Road, Woodville, FL 32362-0568 | 2006-11-08 |
| 1902369895 | Disc Village, Inc. | Community/Behavioral Health | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2019-04-09 |
| Street Address |
3333 W PENSACOLA ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285121616 | Yasmin Miranda | Counselor | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2018-04-20 |
| 1770946576 | Florida Alliance for Assistive Services and Technology | Durable Medical Equipment & Medical Supplies | 3333 W Pensacola St, Ste 140, Tallahassee, FL 32304-2888 | 2016-03-30 |
| 1710348966 | Meghan Mccloskey | Counselor | 3333 W Pensacola St, Suite 300, Tallahassee, FL 32304-2888 | 2016-03-16 |
| 1518349869 | Alicia Patros | Counselor | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2015-06-23 |
| 1700075934 | Christine N Flury | Social Worker | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2007-10-24 |
| 1447306253 | James Luke Myers | Counselor | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2007-01-25 |
| 1457377376 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| 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 |
|---|---|---|---|---|
| 1912359464 | A Life Recovery, Inc | Substance Abuse Rehabilitation Facility | 449 W Georgia St, Tallahassee, FL 32301-1011 | 2016-07-08 |
| 1497136717 | S K Kotei Consultants LLC | Substance Abuse Rehabilitation Facility | 1347 E Tennessee St, Tallahassee, FL 32308-5107 | 2015-06-11 |
| 1558854141 | A Life Recovery Center | Substance Abuse Rehabilitation Facility | 449 W Georgia St, Tallahassee, FL 32301 | 2018-06-08 |
| 1164953782 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 2967 Natural Bridge Rd, Tallahassee, FL 32305-1806 | 2017-03-24 |
| 1689066086 | Apalachee Center, Inc. | Substance Abuse Rehabilitation Facility | 2634 Capital Cir Ne, Tallahassee, FL 32308-4106 | 2015-02-23 |
| 1982922829 | Internal Medicine and Pediatrics Associatesof Tallahassee Inc | Substance Abuse Rehabilitation Facility | 1965 Capital Cir Ne, Suite 102, Tallahassee, FL 32308-8401 | 2010-05-16 |
| 1457377376 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2006-07-14 |
| 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 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
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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.