| Treatment Centers Of America, Llc | |
|
1405 Se Goldtree Dr Ste A-b Port St Lucie FL 34952-7563 | |
| (855) 700-0327 | |
| (561) 828-8195 |
| Full Name | Treatment Centers Of America, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1405 Se Goldtree Dr Ste A-b, Port St Lucie, Florida |
| Authorized Official Name and Position | Annamarie Ackner (COO) |
| Authorized Official Contact | 7722484800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treatment Centers Of America, Llc 401 Old Dixie Hwy Unit 3329 Jupiter FL 33469-2433 Ph: (772) 248-4800 | Treatment Centers Of America, Llc 1405 Se Goldtree Dr Ste A-b Port St Lucie FL 34952-7563 Ph: (855) 700-0327 |
| NPI Number | 1225743032 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 12/27/2025 |
| Certification Date | 12/27/2025 |
| Medicare PECOS PAC ID | 7810435294 |
|---|---|
| Medicare Enrollment ID | O20240815004696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225743032 | NPI | - | NPPES |
| Provider Name | Rafael Munne-quintana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841227634 PECOS PAC ID: 0042295644 Enrollment ID: I20070814000182 |
| Provider Name | Laura B Gowdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063687440 PECOS PAC ID: 5597806141 Enrollment ID: I20100105000546 |
| Provider Name | Lisa Lee Molyneaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578860441 PECOS PAC ID: 1557512738 Enrollment ID: I20121116000131 |
| Provider Name | Eleanor M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275960007 PECOS PAC ID: 3779714787 Enrollment ID: I20140314001233 |
| Provider Name | Shannon Louise Schaal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013534205 PECOS PAC ID: 6800286196 Enrollment ID: I20211130002061 |
| Provider Name | Lauren Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609988724 PECOS PAC ID: 1153425749 Enrollment ID: I20241125000985 |
| Provider Name | Paul Kenneth Dempsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750803029 PECOS PAC ID: 5991232787 Enrollment ID: I20241217004344 |
| Provider Name | Nicholas T Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356186621 PECOS PAC ID: 8820528599 Enrollment ID: I20250211000261 |
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