Sobriety Solutions Lakeside LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Sicklerville, New Jersey
1639682438- Practice location
- 900 Liberty Pl, Sicklerville, NJ 08081-5716
- Phone
- 856-302-1362
- Fax
- —
- Last updated
- July 31, 2023
Sobriety Solutions Lakeside LLC is a healthcare organization based in Sicklerville, NJ. Sobriety Solutions Lakeside LLC practices in Sicklerville, NJ. The NPI Number for Sobriety Solutions Lakeside LLC is 1639682438 and holds a License No. 2000667 (NJ). The current practice location address for Sobriety Solutions Lakeside LLC is 900 Liberty Pl, Sicklerville, NJ 08081-5716 and can be reached out via phone at 856-302-1362.
Provider Profile Details
- NPI Number
- 1639682438
- Provider Name
- Sobriety Solutions Lakeside LLC
- Provider Entity Type
- Organization
- Address
- 900 Liberty Pl, Sicklerville, NJ 08081-5716
- Phone Number
- 856-302-1362
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Larry Pettis, MD · Medical Director · 856-302-1362
- Other Names
- Lakeside Recovery Center (Doing Business As)
- Provider Enumeration Date
- November 15, 2017
- Last Update Date
- July 31, 2023
- Certification Date
- July 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Liberty Pl
Sicklerville, NJ 08081-5716 - City
- Sicklerville
- State
- New Jersey
- Zip
- 08081-5716
- Phone Number
- 856-302-1362
Provider Business Mailing Address Details
- Address
- 200 Independence Blvd
Sicklerville, NJ 08081-1092 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-1092
License Information
- License Number
- 2000667
- License State
- NJ
- Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sobriety Solutions Lakeside LLC?
The NPI number of Sobriety Solutions Lakeside LLC is 1639682438. It was assigned on November 15, 2017 and is currently active in the NPPES registry.
What is the specialty of Sobriety Solutions Lakeside LLC?
Sobriety Solutions Lakeside LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in NJ under license number 2000667.
Where does Sobriety Solutions Lakeside LLC practice?
The practice location is 900 Liberty Pl, Sicklerville, NJ 08081-5716. The office can be reached at 856-302-1362 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639682438 directly on the NPPES registry website.