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General NPI Number Information
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NPI Number | 1225743032
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Entity Type | Organization
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Legal Business Name | TREATMENT CENTERS OF AMERICA, LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 1405 SE GOLDTREE DR STE A-B
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-7563
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Country | US
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Telephone | 855-700-0327
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Fax | 561-828-8195
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Provider Business Mailing Address
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Address Line | 401 OLD DIXIE HWY UNIT 3329
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City | JUPITER
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State | FL
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Zip | 33469-2433
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Country | US
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Telephone | 772-248-4800
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Fax | 772-477-0001
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Authorized Official
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Title or Position | COO
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Name | ANNAMARIE ACKNER
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Credential |
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Telephone | 772-248-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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