WISHING WELL OUTPATIENT CENTER, LLC (NPI# 1558804146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558804146 |
| Entity Type | Organization |
| Organization Name | WISHING WELL OUTPATIENT CENTER, LLC |
| Practice Address |
301 W Boynton Beach Blvd Boynton Beach FL 33435-4024 |
| Practice Telephone | 9547097124 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | KARLA AVILES (GENERAL MANAGER) |
| Authorized Official Telephone | 9547097124 |
| 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 |
| Street Address |
301 W BOYNTON BEACH BLVD |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346709151 | Boynton Wellness Center, LLC | Clinic/Center | 200 Knuth Rd Ste 140, Boynton Beach, FL 33436-4640 | 2019-03-19 |
| 1043766280 | Emerge Recovery Center LLC | Clinic/Center | 1105 North Federal Highway, Boynton Beach, FL 33435 | 2016-08-28 |
| 1710335781 | Pax Campus, LLC | Clinic/Center | 1105 N Federal Hwy, Boynton Beach, FL 33435-3228 | 2016-05-31 |
| 1932553880 | Jacob Pistor | Clinic/Center | 4895 Windward Passage Dr Ste 6, Boynton Beach, FL 33436-7741 | 2016-04-18 |
| 1740657188 | Atlantic Coast Therapy | Clinic/Center | 200 Knuth Rd Ste 240, Boynton Beach, FL 33436-4637 | 2015-09-01 |
| 1477944767 | Centerhills Enterprises LLC | Clinic/Center | 515 S Federal Hwy, Boynton Beach, FL 33435-4933 | 2015-02-09 |
| 1568872356 | Aisol, LLC | Clinic/Center | 4875 Park Ridge Blvd Ste 103, Boynton Beach, FL 33426-8345 | 2014-05-01 |
| 1184983041 | Palm Tree Recovery LLC | Clinic/Center | 2411 Quantum Blvd, Boynton Beach, FL 33426-8612 | 2012-05-14 |
| 1861002875 | Orci Counseling Center Inc | Clinic/Center | 1080 S Federal Hwy, Boynton Beach, FL 33435-5614 | 2020-08-04 |
| 1902302789 | New Perspectives, LLC | Clinic/Center | 415 S Federal Hwy, Boynton Beach, FL 33435-4931 | 2018-04-02 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
Please comment or provide details below to improve the information on WISHING WELL OUTPATIENT CENTER, LLC.
| 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.