MEDICARE: CONTINUED SOBRIETY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1730752627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUED SOBRIETY LLC

Provider Business Mailing Address
First Line	:	5100 N FEDERAL HWY STE 100
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3842
Country	:	US
Telephone Number	:	954-234-9130
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 N FEDERAL HWY STE 100
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3842
Country	:	US
Telephone Number	:	754-312-5205
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ASHLEY WILKINS
Credential	:	CEO
Telephone Number	:	754-312-5205

Provider Enumeration Date	:	07/20/2021
Last Update Date	:	10/15/2025

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