REVELATIONS TREATMENT CENTER, LLC (NPI# 1588114888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588114888 |
| Entity Type | Organization |
| Organization Name | REVELATIONS TREATMENT CENTER, LLC |
| Other Organization Name | CORPORATE CONSULTING & COACHING, INC. |
| Practice Address |
521 Lantana Rd Lantana FL 33462-1625 |
| Practice Telephone | 5613605050 |
| Mailing Telephone | 5613605050 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | MS. LORI BETH LONG (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 5613605050 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH2035 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSED MENTAL HEALTH COUNSELOR | MH2035 | 01 |
| Other Name | Type Code |
|---|---|
| Corporate Consulting & Coaching, Inc. | Other Name - Individual/Organization |
| Street Address |
521 LANTANA RD |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205358736 | Recovery Outcomes Institute, Inc. | Community/Behavioral Health | 111 Moorings Dr, Lantana, FL 33462-8019 | 2017-07-17 |
| 1265845168 | Elite Recovery Resources LLC | Community/Behavioral Health | 7810 Terrace Rd, Lantana, FL 33462-6146 | 2014-06-09 |
| 1982041026 | Recovery Restart LLC | Community/Behavioral Health | 3227 Palomino Dr, Lantana, FL 33426 | 2013-05-30 |
| 1922618206 | Jennifer Stevens | Community/Behavioral Health | 1111 Hypoluxo Rd, Lantana, FL 33462-4271 | 2020-08-03 |
| 1417200031 | Millennium Health Services, Inc. | Community/Behavioral Health | 6252 S Congress Ave, Suite J1, Lantana, FL 33462-2352 | 2012-10-19 |
| 1730227596 | Jeff Industries, Inc. | Community/Behavioral Health | 115 E Coast Ave, Lantana, FL 33462-5316 | 2007-02-02 |
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| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
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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.