PREMIER DETOX SERVICES LLC
NPI 1164234449
Clinic/Center - Rehabilitation, Substance Use Disorder in Vero Beach, FL

Active since January 23, 2025
7870 94TH AVE, VERO BEACH, FL 32967(772) 400-7492 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About PREMIER DETOX SERVICES LLC

This page provides the complete NPI Profile along with additional information for Premier Detox Services Llc, a provider established in Vero Beach, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1164234449 assigned on January 2025. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Premier Detox Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Theresa Luna Rn (Owner/don)

NPI
1164234449 Verify this NPI
Provider Name
PREMIER DETOX SERVICES LLC
Entity Type
Organization
Location Address
7870 94TH AVE VERO BEACH, FL 32967
Location Phone
(772) 400-7492
Mailing Address
7870 94TH AVE VERO BEACH, FL 32967
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2025
Last Update Date
01-23-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

 
2174200000XOther Service Providers

Meals

 
3251B00000XAgencies

Case Management

 
4251F00000XAgencies

Home Infusion

 
5251J00000XAgencies

Nursing Care

 
6253Z00000XAgencies

In Home Supportive Care

 
7347C00000XTransportation Services

Private Vehicle

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THERESA LUNA RN

Authorized Official Title
OWNER/DON
Authorized Official Phone
(772) 400-7492

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164234449, enumerated as an "organization" on January 23, 2025.

The provider is located at 7870 94TH AVE VERO BEACH, FL 32967 and the phone number is (772) 400-7492.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.