WILLOWBEND RETREATS, LLC (NPI# 1710292883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710292883 |
Entity Type | Organization |
Organization Name | WILLOWBEND RETREATS, LLC |
Other Organization Name | WILLOWBEND RECOVERY |
Practice Address |
2033 Wood St Suite 215 Sarasota FL 34237-7900 |
Practice Telephone | 9413288953 |
Practice Fax Number | 9418660427 |
Mailing Telephone | 9413288953 |
Mailing Fax Number | 9418660427 |
Enumeration Date | 2010-08-13 |
Last Update Date | 2010-08-13 |
Authorized Official Name | MR. MICHAEL DYLAN GREGORY (CEO) |
Authorized Official Telephone | 9413288953 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 12-58-AD-6213-01 | FL | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Willowbend Recovery | Doing Business As Name - Organization |
Street Address |
2033 WOOD ST SUITE 215 |
City | SARASOTA |
State | FL |
Zip Code | 34237-7900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902908296 | Edwin R. Larson | Counselor | 2033 Wood St, Ste 220, Sarasota, FL 34237-7900 | 2006-09-05 |
1487059432 | Sarasota Home Care, Inc | In Home Supportive Care | 2033 Wood St, Suite 105, Sarasota, FL 34237-7900 | 2014-10-31 |
1578990149 | Susan Alarie | Counselor | 2033 Wood St, Suite 220, Sarasota, FL 34237-7900 | 2013-09-27 |
1659716058 | Howard M. Chasolen | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2013-04-30 |
1134467699 | Thomas Chambers | Social Worker | 2033 Wood St, Suite 220, Sarasota, FL 34237-7900 | 2013-01-17 |
1700123700 | Anne Katherine Glowacki | Social Worker | 2033 Wood St, Sarasota, FL 34237-7900 | 2013-01-10 |
1063766590 | Sylvie Anne Jeanloz | Social Worker | 2033 Wood St, Sarasota, FL 34237-7900 | 2012-11-06 |
1942552575 | Advanced Rejuvenation LLC | General Practice | 2033 Wood St, 210, Sarasota, FL 34237-7900 | 2012-10-05 |
1710238597 | Advanced Rejuvination | Chiropractor | 2033 Wood St, Suite 210, Sarasota, FL 34237-7900 | 2012-09-20 |
1699038703 | Kathryn P Benninghove | Counselor | 2033 Wood St, Sarasota, FL 34237-7900 | 2012-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215595004 | Brett Sondag | Counselor | 2033 Wood St., Ste. 215, 218, 220, Sarasota, FL 34237 | 2019-06-05 |
1730608274 | Stacy Lee Panzella | Behavior Technician | 2461 8th Street, Unit 52, Sarasora, FL 34237 | 2017-09-15 |
1871010942 | Katy Darlene Wendel | Registered Nurse | 1231 N. Tuttle Avenue, Sarasota, FL 34237 | 2017-08-29 |
1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
1295075281 | Baltimore Orioles Limited Partnership | Non-Pharmacy Dispensing Site | 1090 Euclid Ave, Ed Smith-baltimore Orioles-athletic Training Department, Sarasota, FL 34237 | 2013-02-27 |
1164786877 | Robin Susan Bernstein | Counselor | 520 Payne Pkwy, Sarasota, FL 34237 | 2012-06-27 |
1598053787 | Linda B Sherr | Counselor | 504 Payne Parkway, Sarasota, FL 34237 | 2011-07-21 |
1245463405 | Lydia Gay Corn | Internal Medicine | 80 S Tuttle Avenue, Suite 100, Sarasota, FL 34237 | 2009-09-03 |
1316187156 | John R Picken Md | General Practice | 3530 Fruitville Road, Sarasoa, FL 34237 | 2009-03-05 |
1124299193 | Manav Malik | Dentist | 3103 Fruitville Rd, Sarasota, FL 34237 | 2008-03-18 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518273382 | Rehab After Work of Florida | Substance Abuse Rehabilitation Facility | 1250 S Tamiami Trl, Suite 201, Sarasota, FL 34239-2221 | 2010-08-31 |
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1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
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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.