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NPI 1194445312

NPI 1194445312 : STARLITE RECOVERY CENTER, LLC : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1194445312
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    Entity Type          |    Organization 
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    Legal Business Name  |    STARLITE RECOVERY CENTER, LLC 
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Dates
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    Enumeration Date     |    08/29/2022
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    790 GENERATIONS DR STE 515 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-2613
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    Country              |    US
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    Telephone            |    800-292-0148
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4020 ASPEN GROVE DR STE 900 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-3134
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    Country              |    US
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    Telephone            |    615-861-6000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT AND SECRETARY
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    Name                 |     BRIAN P FARLEY 
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    Credential           |    
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    Telephone            |    615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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