Organization · Type 2 NPI
Lakeside Clinic, LLC
Methadone Clinic · Clearwater, FL
NPI number
1992162879
Active
Practice location
13700 58th St N, Building 2, Suite 201
Clearwater, FL 33760-3757
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
3 other providers at this address
About NPI 1992162879
Lakeside Clinic, LLC's National Provider Identifier is 1992162879, issued on Jan 22, 2016. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Clearwater, FL. The record was last updated on Jul 29, 2024.