Elysian Counseling Center LLC
Substance Abuse Rehabilitation Facility in Stuart, FL. Organization (NPI-2).
NPI number1104604685
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1104604685
- Entity type
- Organization (NPI-2)
- Legal business name
- Elysian Counseling Center LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2023
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
465 Se Riverside DrStuart, FL 34994-2584
Phone 772-266-0440
Mailing address
465 Se Riverside DrStuart, FL 34994-2584
Phone 772-266-0440
Authorized official
Catherina Popa
Owner/Manager
7722660440
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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