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

Seaglass Az LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1710638226

Seaglass Az LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Prescott, Arizona. Registered with an NPI since 2022.

In the registry since
2022
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

711 W Gurley St
Prescott, AZ 86305-3621
Phone: (855) 468-3369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1710638226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shandalee Jackson — Credentialing Manager · (561) 562-6271
Other names Seaglass Recovery; Seaglass Recovery
NPI enumeratedJanuary 17, 2022
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address1590 S Congress Ave, Palm Springs, FL 33406-5957

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