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SEAGLASS RECOVERY
NPI 1710638226
Clinic/Center - Rehabilitation, Substance Use Disorder in Prescott, AZ

Active since January 17, 2022
711 W GURLEY ST, PRESCOTT, AZ 86305(855) 468-3369 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Seaglass Recovery NPPES

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

SEAGLASS RECOVERY (NPI 1710638226) is a healthcare organization registered as a rehabilitation, substance use disorder in Prescott, Arizona and active in the NPI registry since January 2022. The organization lists Shandalee Jackson, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1710638226
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSEAGLASS AZ LLC
Location Address711 W GURLEY STPrescott, AZ 86305-3621
Mailing Address1590 S Congress AvePalm Springs, FL 33406-5957 · (347) 693-4239
Phone(855) 468-3369
Organization SubpartNo
Authorized OfficialShandalee JacksonCredentialing Manager · (561) 562-6271
Enumeration DateJanuary 17, 2022
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1710638226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
711 W GURLEY ST, Prescott, AZ 86305
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Other Names 1

Doing Business AsSeaglass Recovery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES

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

SEAGLASS RECOVERY
Clinic/Center (Rehabilitation, Substance Use Disorder)
711 W GURLEY ST
PRESCOTT, AZ 86305
Yavapai County (877) 732-6837

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 Seaglass Az LLC's NPI number?

The NPI number for Seaglass Az LLC is 1710638226. It was assigned to this organization in the NPPES registry on January 17, 2022. The provider is doing business as Seaglass Recovery.

Where is Seaglass Az LLC located?

Seaglass Az LLC is located at 711 W Gurley St, Prescott, AZ 86305. The listed phone number is (855) 468-3369.

What is Seaglass Az LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Seaglass Az LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Seaglass Az LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seaglass Az LLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.