Beaded Star Recovery,Llc

LBN: Beaded Star Recovery,Llc
Beaded Star Recovery,Llc is an health care organization with primary practice located at 2380 3Rd St S Suite 1, Jacksonville Beach FL 32250-4023. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Dietitian, Registered, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Beaded Star Recovery,Llc can be contacted via phone (904) 241-3113, or through Dahl, Marilyn K via phone (904) 241-3113.

Contact Information

Primary practice address
2380 3Rd St S Suite 1 Jacksonville Beach FL 32250-4023
Phone: (904) 241-3113
Fax: (904) 513-9268
Website:
Map and Directions
Authorized official contact:
Name: Dahl, Marilyn K RD, LD/N, MBA, CEDRD
Phone: (904) 241-3113

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8334 Florida
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND546 Florida
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X ND546 Florida

Profile Details

NPI number 1053681205
LBN Legal business name Beaded Star Recovery,Llc
DBA Doing business as
Authorized official Dahl, Marilyn K RD, LD/N, MBA, CEDRD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2012
Last updated Aug 7th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers