PANHANDLE COMPREHENSIVE TREATMENT CENTER
NPI 1851057293
Licensed Practical Nurse in Pace, FL

Active since November 10, 2021CLIA 10D2212333 · Waiver
4553 WATKINS ST, PACE, FL 32571(850) 800-2772 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2021, Nov 10, 2021 (2 updates tracked since 2021).

About Panhandle Comprehensive Treatment Center NPPES

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

PANHANDLE COMPREHENSIVE TREATMENT CENTER (NPI 1851057293) is a healthcare organization registered as a licensed practical nurse in Pace, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Andrew Lafontant, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1851057293
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameCRC HEALTH TREATMENT CLINICS, LLC
Location Address4553 WATKINS STPace, FL 32571-2511
Mailing Address4553 Watkins StPace, FL 32571-2511 · (850) 800-2772
Organization SubpartNo
Authorized OfficialAndrew LafontantClinic Director · (850) 800-2772
Enumeration DateNovember 10, 2021
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
NPI 1851057293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4553 WATKINS ST, Pace, FL 32571

Other Names 1

Doing Business AsPanhandle Comprehensive Treatment Center

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 10D2212333

Panhandle Comprehensive Treatment Center · Pace, FL
Active · expires Feb 3, 2027
CLIA Number10D2212333
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorFanuel Dorilas
Laboratory Phone(850) 800-2772
Laboratory LocationPanhandle Comprehensive Treatment Center4553 Watkins Place, Pace, FL 32571
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
4553 WATKINS ST
PACE, FL 32571
Licensed Practical Nurse
4553 WATKINS ST
PACE, FL 32571
Counselor
4553 WATKINS ST
PACE, FL 32571
Counselor (Addiction (Substance Use Disorder))
4553 WATKINS ST
PACE, FL 32571
Internal Medicine (Addiction Medicine)
4553 WATKINS ST
PACE, FL 32571
Licensed Practical Nurse
4553 WATKINS ST
PACE, FL 32571
Licensed Practical Nurse
4553 WATKINS ST
PACE, FL 32571
Licensed Practical Nurse
4553 WATKINS ST
PACE, FL 32571

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 Crc Health Treatment Clinics, LLC's NPI number?

The NPI number for Crc Health Treatment Clinics, LLC is 1851057293. It was assigned to this organization in the NPPES registry on November 10, 2021. The provider is doing business as Panhandle Comprehensive Treatment Center.

Where is Crc Health Treatment Clinics, LLC located?

Crc Health Treatment Clinics, LLC is located at 4553 Watkins St, Pace, FL 32571. The listed phone number is (850) 800-2772.

What is Crc Health Treatment Clinics, LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Does Crc Health Treatment Clinics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2212333) is associated with this NPI, valid through February 3, 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 Crc Health Treatment Clinics, LLC was last updated on November 19, 2021. 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.