THE GOOD LIFE TREATMENT CENTER, LLC (NPI# 1730546854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730546854 |
| Entity Type | Organization |
| Organization Name | THE GOOD LIFE TREATMENT CENTER, LLC |
| Practice Address |
400 Executive Center Dr Suite 106 West Palm Beach FL 33401-2917 |
| Practice Telephone | 5615089070 |
| Mailing Telephone | 5615089070 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | MIKE RAPPA (CEO) |
| Authorized Official Telephone | 5615089070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
400 EXECUTIVE CENTER DR SUITE 106 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449504 | Mary M Colburn | Internal Medicine | 400 Executive Center Dr, Suite 102, West Palm Beach, FL 33401-2917 | 2005-10-04 |
| 1265944979 | Jannell Chakakhan Russell-williams | Nurse Practitioner | 400 Executive Center Dr, West Palm Beach, FL 33401-2917 | 2017-11-02 |
| 1699220426 | Kemline Metellus Dorvil | Nurse Practitioner | 400 Executive Center Dr, Suite 110, West Palm Beach, FL 33401-2917 | 2016-08-22 |
| 1750752507 | Palm Beach Orthodontics Inc | Dentist | 400 Executive Center Dr, Suite 105, West Palm Beach, FL 33401-2917 | 2015-10-19 |
| 1629473913 | Little Smiles Dental of Palm Beach | Dentist | 400 Executive Center Dr, Ste 103, West Palm Beach, FL 33401-2917 | 2014-10-29 |
| 1669711370 | James Scampole | Chiropractor | 400 Executive Center Dr, Suite 202, West Palm Beach, FL 33401-2917 | 2013-02-01 |
| 1104196393 | Thomas P Floyd, Dmd, Pa | Clinic/Center | 400 Executive Center Dr, Suite 103, West Palm Beach, FL 33401-2917 | 2012-01-05 |
| 1255638961 | Mary M. Colburn, M.d., P.a. | Specialist | 400 Executive Center Dr, Suite 102, West Palm Beach, FL 33401-2917 | 2011-02-15 |
| 1730323007 | Scaps Medical, LLC | Internal Medicine | 400 Executive Center Dr, Suite 110, West Palm Beach, FL 33401-2917 | 2009-04-29 |
| 1346406105 | Carrol Ann Fenn | Dentist | 400 Executive Center Dr, Suite # 105, West Palm Beach, FL 33401-2917 | 2008-07-31 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1366002156 | Evernia Health Center, LLC | Substance Abuse Rehabilitation Facility | 950 Evernia St Ste 311-320, West Palm Beach, FL 33401-5735 | 2019-06-14 |
| 1164087458 | Heal Behavioral Health Inc. | Substance Abuse Rehabilitation Facility | 1700 Okeechobee Rd Ste 101, West Palm Beach, FL 33409-5229 | 2019-05-02 |
| 1366933012 | Clean & Sober Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 901 Northpoint Pkwy Ste 303, West Palm Beach, FL 33407-1953 | 2018-05-29 |
| 1063914349 | Chapel Hill Medical Services LLC | Substance Abuse Rehabilitation Facility | 4308 Miller Ave, West Palm Beach, FL 33405-2628 | 2018-03-02 |
| 1295249993 | Clear Minds Health Services LLC | Substance Abuse Rehabilitation Facility | 1738 N Military Trl, West Palm Beach, FL 33409-4714 | 2017-11-17 |
| 1275058810 | The Recovery House Detox | Substance Abuse Rehabilitation Facility | 3809 Australian Ct, West Palm Beach, FL 33407-3911 | 2017-08-04 |
| 1598206658 | Delray Recovery Center | Substance Abuse Rehabilitation Facility | 5402 East Ave, West Palm Beach, FL 33407-2344 | 2017-03-09 |
| 1548703259 | Treatment Centers of North America | Substance Abuse Rehabilitation Facility | 777 South Flagler Dr, West Tower/suite #800, West Palm Beach, FL 33401 | 2016-11-29 |
| Find all providers in WEST PALM BEACH | ||||
| 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.