LIFETIME RECOVERY ACADEMY INC. (NPI# 1538674601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538674601 |
Entity Type | Organization |
Organization Name | LIFETIME RECOVERY ACADEMY INC. |
Other Organization Name | LIFE RECOVERY ACADEMY |
Practice Address |
13900 Sawyer Ranch Rd. Dripping Springs TX 78620 |
Mailing Address |
Po Box 1090 Dripping Springs TX 78620 |
Practice Telephone | 5129604477 |
Mailing Telephone | 5129604477 |
Enumeration Date | 2017-12-11 |
Last Update Date | 2018-08-23 |
Authorized Official Name | ELAINE S BROWN (PRESIDENT/CCO) |
Authorized Official Telephone | 5129604477 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Life Recovery Academy | Doing Business As Name - Organization |
Street Address |
13900 SAWYER RANCH RD. |
City | DRIPPING SPRINGS |
State | TX |
Zip Code | 78620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659848943 | Corey Paul Devillier | Nurse Practitioner | 13830 Sawyer Ranch Rd Ste 102, Dripping Springs, TX 78620 | 2018-10-25 |
1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
1811405384 | Henly Community Clinic Pllc | Nurse Practitioner | 101 Hays St Ste 410, Dripping Springs, TX 78620 | 2018-01-17 |
1639610421 | Dripping Springs Pediatric Dental, Pllc | Dentist | 2440 E Highway 290. Building C, Suite B, Dripping Springs, TX 78620 | 2017-03-14 |
1972059269 | Christine Kloppe | General Practice | 190 Easy St., Dripping Springs, TX 78620 | 2016-08-28 |
1750758355 | Blake Liles | Nurse Practitioner | 598 Us-290, Dripping Spring, TX 78620 | 2015-08-31 |
1407258775 | Rediclinic Austin, LLC | Clinic/Center | 598 E. Hwy Us 290, Dripping Springs, TX 78620 | 2014-09-18 |
1871904607 | Brenda Watkins | Dermatology | 170 Benney Ln Ste 203, Dripping Springs, TX 78620 | 2014-05-14 |
1043641657 | Elaine Brown | Counselor | 13900 Sawyer Ranch Rd, Dripping Springs, TX 78620 | 2013-12-06 |
1649541525 | Lauren Alisa Herrington Stewart | Counselor | 230 Sports Park Road, Dripping Springs, TX 78620 | 2012-01-24 |
Find all providers in zip 78620 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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Find all providers with the same taxonomy |
City | DRIPPING SPRINGS |
Zip Code | 78620 |
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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.