CYPRESS LAKE LODGE (NPI# 1831642933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831642933 |
| Entity Type | Organization |
| Organization Name | CYPRESS LAKE LODGE |
| Practice Address |
1129 Us Highway 287 Woodville TX 75979-3722 |
| Practice Telephone | 2813847815 |
| Practice Fax Number | 7135278558 |
| Mailing Telephone | 2813847815 |
| Mailing Fax Number | 7135278558 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | DR. JAMES FLOWERS (CEO) |
| Authorized Official Telephone | 7135681210 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1129 US HIGHWAY 287 |
| City | WOODVILLE |
| State | TX |
| Zip Code | 75979-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335946 | Anne Elizabeth Messina | Counselor | 1129 Us Highway 287, Woodville, TX 75979-3722 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902439649 | Miesha Mcneal | Licensed Vocational Nurse | 1284 Cr 2100, Woodville, TX 75979 | 2020-02-21 |
| 1043871890 | Lyndsey Nicole Kinard | Home Health Aide | 114 Pr 6138, Woodville, TX 75979 | 2019-06-24 |
| 1285004366 | Curtis Evans | Nurse Practitioner | 703 W Bluff St, Woodville, TX 75979 | 2015-10-01 |
| 1558738336 | Kayla Butter | Speech-Language Pathologist | 186 County Road 4210, Woodville, TX 75979 | 2015-08-27 |
| 1518286038 | Dorothy Jean Griffin | Counselor | 123 Cr 4260 (hwy 69 South @ Seneca), Woodville, TX 75979 | 2010-05-24 |
| 1447259627 | Tyler County Hospital District | General Acute Care Hospital | 1100 W Bluff St, Woodville, TX 75979 | 2005-07-19 |
| 1073510285 | Paula Lajean Denson | Family Medicine | 104 N. Beech St, Woodville, TX 75979 | 2005-07-01 |
| 1225583271 | Bukola Durojaiye | Nurse Practitioner | 104 N Beech St, Tyler County Hospital Family Medical Clinic, Woodville, TX 75979 | 2016-08-19 |
| 1407899495 | Alicia D Scoggins | Nurse Practitioner | 900 West Bluff, Woodville, TX 75979-0900 | 2006-06-14 |
| 1174696140 | Kerry L Evans | Emergency Medicine | 1922 Fm 256 W, Woodville, TX 75979-2333 | 2006-11-16 |
| Find all providers in zip 75979 | ||||
| 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 |
|---|---|---|---|---|
| 1801496302 | Sunrise Rehab and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1106 N Interstate 35, San Marcos, TX 78666-7030 | 2020-10-26 |
| 1124627443 | Resurgence Texas | Substance Abuse Rehabilitation Facility | 10703 Ranch Road 12, Wimberley, TX 78676-5239 | 2020-10-19 |
| 1053918151 | The Salvation Army, A Georgia Corp. - Mabee Center | Substance Abuse Rehabilitation Facility | 1855 E. Lancaster Ave., Fort Worth, TX 76103-2123 | 2020-10-02 |
| 1174139364 | Voice To Discovery Community | Substance Abuse Rehabilitation Facility | 7811 Hornwood Dr, Houston, TX 77036-4115 | 2020-09-22 |
| 1093329484 | Alara Health | Substance Abuse Rehabilitation Facility | 4731 County Road 172, Alvin, TX 77511-0325 | 2020-09-02 |
| 1659982437 | Oliver-west Health and Wellness Center | Substance Abuse Rehabilitation Facility | 9009 Boone Rd Ste A, Houston, TX 77099-2033 | 2020-08-13 |
| 1730798893 | Starlite Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2210 Bandera Hwy Ste C-1, Kerrville, TX 78028-6609 | 2020-07-24 |
| 1043837644 | Alaine Detox Center LLC | Substance Abuse Rehabilitation Facility | 3505 Sage Rd Unit 2504, Houston, TX 77056-7183 | 2020-06-30 |
| 1821614181 | Lighthouse Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 5344 Alpha Rd, Dallas, TX 75240-3428 | 2020-06-23 |
| 1306460266 | Revive F W | Substance Abuse Rehabilitation Facility | 10907 Martindale Rd, Houston, TX 77048-2011 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
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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.