Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sana Lake Recovery Center, LLC

Organization Community/Behavioral Health Agency · NPI 1477147478

Sana Lake Recovery Center, LLC is a Community/Behavioral Health Agency in Overland Park, Kansas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10881 Lowell Ave
Overland Park, KS 66210-1653
Phone: (314) 392-3822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1477147478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Glenn — Chief Clinical Officer · (314) 392-3822
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021
Mailing address8350 State Route 30, Dittmer, MO 63023

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