BEADED STAR RECOVERY,LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1053681205

BEADED STAR RECOVERY,LLC is a healthcare provider. based in Jacksonville beach, Florida. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. ND546 (FL). The NPI Number for BEADED STAR RECOVERY,LLC is 1053681205

Main info

Organization
Name
BEADED STAR RECOVERY,LLC
NPI
1053681205
Phone
(904) 241-3113
Address
2380 3RD ST S
Authorized Official
MS. MARILYN K DAHL OWNER RD, LD/N, MBA, CEDRD
Enumeration Date
5 January 2012
Last Update Date
7 August 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for BEADED STAR RECOVERY,LLC

  • 2380 3RD ST S

    SUITE 1

    JACKSONVILLE BEACH, FL 322504023

    Phone: (904) 241-3113

    Fax: (904) 513-9268

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32250)

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Frequently asked questions

Where can patients find BEADED STAR RECOVERY,LLC's NPI?
You can confirm BEADED STAR RECOVERY,LLC with NPI 1053681205; it appears in the national provider directory.
Is BEADED STAR RECOVERY,LLC active in the national directory?
BEADED STAR RECOVERY,LLC's public NPI profile is in an active state.
What kind of provider is BEADED STAR RECOVERY,LLC?
The page reflects Mental Health Clinic/Center (Including Community Mental Health Center) for BEADED STAR RECOVERY,LLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for BEADED STAR RECOVERY,LLC?
The page summarizes Jacksonville Beach, Florida for BEADED STAR RECOVERY,LLC; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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