REFRESH CANOPY COVE INC.
NPI 1750873121
Psychiatric Residential Treatment Facility in Tallahassee, FL

Active since June 01, 2018CLIA 10D2216688 · Waiver
13305 MAHAN DR, TALLAHASSEE, FL 32309(850) 893-8800 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Feb 7, 2023, Feb 3, 2023 and 3 more (6 updates tracked since 2018).

About Refresh Canopy Cove Inc. NPPES

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

REFRESH CANOPY COVE INC. (NPI 1750873121) is a healthcare organization registered as a psychiatric residential treatment facility in Tallahassee, Florida and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Elisabeth Pesce, Secretary, as its authorized official.

NPPES Registry Identity

NPI1750873121
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameREFRESH CANOPY COVE INC.
Location Address13305 MAHAN DRTallahassee, FL 32309
Mailing Address13305 Mahan DrTallahassee, FL 32309-8698
Organization SubpartNo
Authorized OfficialElisabeth PesceSecretary · (904) 605-4986
Enumeration DateJune 1, 2018
Last NPPES UpdateMarch 30, 20236 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1750873121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
13305 MAHAN DR, Tallahassee, FL 32309

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2216688

Refresh Canopy Cove Inc · Tallahassee, FL
Active · expires Mar 14, 2027
CLIA Number10D2216688
Laboratory TypeHealth Care Clinic
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorFelisha Scott
Laboratory Phone(850) 893-8800
Laboratory LocationRefresh Canopy Cove Inc13305 Mahan Drive, Tallahassee, FL 32309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Substance Abuse Rehabilitation Facility
13305 MAHAN DR
TALLAHASSEE, FL 32309
Nurse Practitioner (Family)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Counselor (Mental Health)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Social Worker (Clinical)
13305 MAHAN DR
TALLAHASSEE, FL 32309
Psychiatric Residential Treatment Facility
13305 MAHAN DR
TALLAHASSEE, FL 32309
Social Worker (Clinical)
13305 MAHAN DR
TALLAHASSEE, FL 32309

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 Refresh Canopy Cove Inc.'s NPI number?

The NPI number for Refresh Canopy Cove Inc. is 1750873121. It was assigned to this organization in the NPPES registry on June 1, 2018.

Where is Refresh Canopy Cove Inc. located?

Refresh Canopy Cove Inc. is located at 13305 Mahan Dr, Tallahassee, FL 32309. The listed phone number is (850) 893-8800.

What is Refresh Canopy Cove Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Refresh Canopy Cove Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2216688) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Refresh Canopy Cove Inc. was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.