STEL, LLC


Address: 863 Francisco Blvd E Ste A, San Rafael, CA 94901-4782
Phone: 8559255267

STEL, LLC (NPI# 1013466952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013466952
Entity Type Organization
Organization Name STEL, LLC
Other Organization Name A NEW PATH MARIN, LLC
Practice Address 863 Francisco Blvd E Ste A
San Rafael
CA 94901-4782
Mailing Address 989 S Main St Ste A
#455
Cottonwood
AZ 86326-4602
Practice Telephone 8559255267
Mailing Telephone 8559255267
Enumeration Date 2016-10-03
Last Update Date 2016-12-15
Authorized Official Name MR. ROBERT EDWARD MOCKLEY II (CIO/OWNER)
Authorized Official Telephone 9703660494
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
210047AP CA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
A New Path Marin, LLC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396289955 Stel, LLC Clinic/Center 520 S 3rd St, Ste 12, Carbondale, CO 81623-2059 2016-12-15

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities STEL, LLC 989 S. Main St., Ste. A-455, Cottonwood, AZ 86326

Office Location

Street Address 863 FRANCISCO BLVD E STE A
City SAN RAFAEL
State CA
Zip Code 94901-4782

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194217679 Bay Recovery Services LLC Clinic/Center 863 Francisco Blvd E Ste A, San Rafael, CA 94901-4782 2018-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780207134 Marianne Haissman Stefancic Marriage & Family Therapist 409 Forbes Ave., San Rafael, CA 94901 2020-05-20
1093292765 Marin Community Clinic Clinic/Center 411 4th Strteet, Suite A, San Rafael, CA 94901 2018-07-25
1275052516 Laura Ellen Silverstein Marriage & Family Therapist 600 Fifth Avenue, San Rafael, CA 94901 2017-09-19
1689101107 Marin Family Recovery Clinic/Center 1209 Third St. Ste 4, San Rafael, CA 94901 2017-05-15
1376070011 Tencia Beavers-sanchez Counselor 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 2017-05-12
1326584905 Jamie Waterman Emergency Medical Technician, Basic 675 Sir Francis Drake Blvd, Kentfield, CA 94901 2017-01-06
1295270676 Stephen Marks Counselor 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 2016-12-21
1497299812 Vesna Sturman Psychologist 712 D St Ste L, San Rafael, CA 94901 2016-12-05
1063955771 Carol Dutton Hollenberg Behavior Technician 503 D St., San Rafael, CA 94901 2016-11-29
1083069447 Bay Area Community Resources Community/Behavioral Health 103 Shoreline Parkway, San Rafael, CA 94901 2016-05-04
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1386269660 Heartwood House LLC Clinic/Center 8 Circle Rd, San Rafael, CA 94903-3821 2020-06-11
1073974598 Safe Passage Recoervy LLC Clinic/Center 880 Las Gallinas Ave Ste 2, San Rafael, CA 94903-3437 2016-03-10
1194217679 Bay Recovery Services LLC Clinic/Center 863 Francisco Blvd E Ste A, San Rafael, CA 94901-4782 2018-05-31
1790288892 Monroe Operations, LLC Clinic/Center 1104 Lincoln Ave, San Rafael, CA 94901-3245 2018-03-14
1417495623 Bayside Marin, Inc. Clinic/Center 718 4th St, San Rafael, CA 94901-3213 2017-02-08

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1518573526 A Ka Center, LLC Clinic/Center 4715 Divine Way, La Mesa, CA 91941-6832 2020-09-16
1821602186 New Bridge Foundation, Inc. Clinic/Center 1777 Leroy Avenue, Berkeley, CA 94709-1156 2020-09-03
1942814793 Ola Wellness Retreat, LLC Clinic/Center 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 2020-08-31
1336752963 Ola Wellness Retreat, LLC Clinic/Center 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 2020-08-24
1003427337 Restorative Partners, Inc. Clinic/Center 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 2020-08-11
1255941597 Pathways Recovery Clinic/Center 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 2020-08-02
1104435734 New Life Health Authority / Dba New Life LLC Clinic/Center 280 E Standley St, Ukiah, CA 95482-4414 2020-07-29
1043829971 House of Hope Foundation Inc Clinic/Center 227 W 9th St, San Pedro, CA 90731-3711 2020-07-27
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Competitor

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City SAN RAFAEL
Zip Code 94901

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Dataset Information

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.

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