Provider Demographics
NPI:1982421848
Name:CENTERPOINTE COUNSELING AND RECOVERY OF SARASOTA, LLC
Entity type:Organization
Organization Name:CENTERPOINTE COUNSELING AND RECOVERY OF SARASOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-488-4811
Mailing Address - Street 1:425 COMMERCIAL CT STE 100
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-1657
Mailing Address - Country:US
Mailing Address - Phone:941-488-4811
Mailing Address - Fax:
Practice Address - Street 1:1578 EL JOBEAN RD UNIT 3
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1307
Practice Address - Country:US
Practice Address - Phone:941-488-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder