GARDEN LIFE WELLNESS, LLC (NPI# 1629597869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629597869 |
Entity Type | Organization |
Organization Name | GARDEN LIFE WELLNESS, LLC |
Practice Address |
401 N Rosemary Ave West Palm Beach FL 33401 |
Mailing Address |
401 N Rosemary Ave West Palm Beach FL 33401-4133 |
Practice Telephone | (561) 420-7244 |
Mailing Telephone | 5614207244 |
Enumeration Date | 2017-09-19 |
Last Update Date | 2017-09-19 |
Authorized Official Name | DAMIR KUKEC (CEO) |
Authorized Official Telephone | 5614207244 |
Authorized Official Credential | MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Street Address |
401 N ROSEMARY AVE |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386023729 | Speak With Us Therapy, LLC | Speech-Language Pathologist | 401 N Rosemary Ave, Ste B, West Palm Beach, FL 33401-4133 | 2015-05-19 |
1447879341 | Dyonne Thompson | Speech-Language Pathologist | 401 N Rosemary Ave, West Palm Beach, FL 33401-4133 | 2020-04-10 |
1861054348 | Living Solutions Counseling LLC | Social Worker | 401 N Rosemary Ave, West Palm Beach, FL 33401-4133 | 2019-07-03 |
1285103465 | Mary Elizabeth Hall | Speech-Language Pathologist | 401 N Rosemary Ave, West Palm Beach, FL 33401-4133 | 2018-11-17 |
1083139315 | Janice Leah Griffin | Social Worker | 401 N Rosemary Ave, West Palm Beach, FL 33401-4133 | 2017-08-08 |
1831638931 | Chanell Mcdonald | Homemaker | 401 N Rosemary Ave, West Palm Beach, FL 33401-4133 | 2017-02-22 |
1871977462 | Creative Solutions Companion Care Service | In Home Supportive Care | 401 N Rosemary Ave, West Palm Beach, FL 33401-4133 | 2015-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
Find all providers in zip 33401 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700396090 | Palm Beach Drug Testing, LLC. | Clinic/Center | 2809 Poinsettia Ave Ste H, West Palm Beach, FL 33407-5426 | 2017-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902405749 | Crc Health Treatment Clinics, LLC | Clinic/Center | 4553 Watkins Street, Pace, FL 32571-2511 | 2020-10-22 |
1558826727 | Better Choices Clinic LLC | Clinic/Center | 8910 Miramar Pkwy Ste 309, Miramar, FL 33025-4188 | 2019-02-01 |
1487172797 | Premier Recovery Institute LLC | Clinic/Center | 1580 Santa Barbara Blvd Ste C, The Villages, FL 32159-6828 | 2017-09-07 |
1467838706 | Metro Treatment of Florida, Lp | Clinic/Center | 590 Ellis Rd S, Bldg. 4, Jacksonville, FL 32254-3555 | 2015-08-10 |
1851795157 | Metro Treatment of Texas, Lp | Clinic/Center | 8529 Southpark Cir Ste 270, Orlando, FL 32819-9017 | 2014-10-15 |
1033546080 | River Region Human Services | Clinic/Center | 2055 Reyko Rd, Suite 101, Jacksonville, FL 32207-2822 | 2013-10-07 |
1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
1831686765 | Colonial Management Group | Clinic/Center | 8800 49th St N Ste 106, Pinellas Park, FL 33782-5332 | 2018-04-17 |
City | WEST PALM BEACH |
Zip Code | 33401 |
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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.