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General NPI Number Information
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NPI Number | 1609224823
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Entity Type | Organization
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Legal Business Name | SIESTA HOUSE, LLC
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 2985 E HILLCREST DR STE 106
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3179
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Country | US
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Telephone | 800-247-6111
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Fax | 805-494-6982
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Provider Business Mailing Address
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Address Line | 2985 E HILLCREST DR STE 105
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3179
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Country | US
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Telephone | 800-247-6111
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Fax | 805-372-1912
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE JOHNS
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Credential |
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Telephone | 815-919-0595
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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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