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BEADED STAR RECOVERY, LLC
NPI 1144504614
Clinic/Center in Jacksonville Beach, FL

Active since October 03, 2011
2380 3RD ST S STE 2, JACKSONVILLE BEACH, FL 32250(904) 270-1234 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 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 1144504614) is a healthcare organization registered as a clinic/center in Jacksonville Beach, Florida and active in the NPI registry since October 2011. The organization lists Marilyn Dahl, Mgr, as its authorized official.

NPPES Registry Identity

NPI1144504614
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEADED STAR RECOVERY, LLC
Location Address2380 3RD ST S STE 2Jacksonville Beach, FL 32250-4023
Mailing Address2380 3rd St S Ste 2Jacksonville Beach, FL 32250-4023 · (904) 270-1234
Phone(904) 270-1234
Organization SubpartNo
Authorized OfficialMarilyn DahlMgr · (904) 270-1234
Enumeration DateOctober 3, 2011
✔ NPI 1144504614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2380 3RD ST S STE 2, Jacksonville Beach, FL 32250
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Other Providers at the Same Location NPPES 4

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

ELIZABETH K GAINER LMHC
Counselor (Mental Health)
2380 3RD ST S STE 2
JACKSONVILLE BEACH, FL 32250
Duval County (904) 568-2865
RACHELL LYNN TILLMAN FL MA 76980
Massage Therapist
2380 3RD ST S STE 2
JACKSONVILLE BEACH, FL 32250
Duval County (423) 444-9893
MARILYN KAY DAHL RD, MBA, LD/N
Dietitian, Registered
2380 3RD ST S STE 2
JACKSONVILLE BEACH, FL 32250
Duval County (904) 270-1234
MISS HUSCHAI NAU MFTI
Counselor
2380 3RD ST S STE 2
JACKSONVILLE, FL 32250
Duval County (754) 779-6195

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 1144504614. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Beaded Star Recovery, LLC located?

Beaded Star Recovery, LLC is located at 2380 3rd St S Ste 2, Jacksonville Beach, FL 32250. The listed phone number is (904) 270-1234.

What is Beaded Star Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Beaded Star Recovery, LLC was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.