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BEADED STAR RECOVERY,LLC
NPI 1053681205
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville Beach, FL

Active since January 05, 2012
2380 3RD ST S, SUITE 1, JACKSONVILLE BEACH, FL 32250(904) 241-3113(904) 513-9268 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beaded Star Recovery,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEADED STAR RECOVERY,LLC (NPI 1053681205) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville Beach, Florida and active in the NPI registry since January 2012. The organization lists Marilyn K Dahl, Owner, as its authorized official.

NPPES Registry Identity

NPI1053681205
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBEADED STAR RECOVERY,LLC
Location Address2380 3RD ST S, SUITE 1Jacksonville Beach, FL 32250-4023
Mailing Address2380 3rd St S, Suite 1Jacksonville Beach, FL 32250-4023 · (904) 241-3113 · Fax (904) 513-9268
Phone(904) 241-3113
Fax(904) 513-9268
Organization SubpartNo
Authorized OfficialMarilyn K DahlOwner · (904) 241-3113
Enumeration DateJanuary 5, 2012
Last NPPES UpdateAugust 7, 2015
✔ NPI 1053681205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in FL · ND546
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH8334 (FL)
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License ND546 (FL)
2380 3RD ST S, Jacksonville Beach, FL 32250
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE S BILLMAN, LPC, PC
Counselor (Mental Health)
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Duval County (904) 885-4713
A NEW WAY HEALTHCARE, LLC
Nurse Practitioner (Primary Care)
2380 3RD ST S
JACKSONVILLE BEACH, FL 32250
Duval County (904) 299-0373
MS. MITZY K NEEL LMHC
Counselor (Mental Health)
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Duval County (904) 614-5521
PREFERRED NUTRITION SERVICES, LLC
Dietitian, Registered
2380 3RD ST S
JACKSONVILLE BEACH, FL 32250
Duval County (904) 270-1234
CHRISTIE SUZANNE CASTNER MFT
Marriage & Family Therapist
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Duval County (904) 853-3300
KATHERINE MAE EFSTRATION WINHAM LMFT
Marriage & Family Therapist
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Duval County (902) 662-6130
MRS. ANNELIE MCCRORIE WELCH LCSW
Social Worker (Clinical)
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Duval County (904) 234-8861
PFAFFMAN, INC.
Marriage & Family Therapist
2380 3RD ST S, SUITE 2
JACKSONVILLE, FL 32250
Duval County (904) 755-6869

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaded Star Recovery,llc's NPI number?

The NPI number for Beaded Star Recovery,llc is 1053681205. It was assigned to this organization in the NPPES registry on January 5, 2012.

Where is Beaded Star Recovery,llc located?

Beaded Star Recovery,llc is located at 2380 3rd St S Suite 1, Jacksonville Beach, FL 32250. The listed phone number is (904) 241-3113.

What is Beaded Star Recovery,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Beaded Star Recovery,llc was last updated on August 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.