Treless Ivey

Individual provider Children's Substance Abuse Rehabilitation Facility · NPI 1285047472

Treless Ivey is a Children's Substance Abuse Rehabilitation Facility in Lake City, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since: 2014

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Practice location Address checks out

439 SW Michigan St
Lake City, FL 32025-0440
Phone: (352) 374-5600

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary)	Taxonomy 3245S0500X

Record details

NPI number	1285047472
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	June 5, 2014
Last updated in NPPES	June 5, 2014
Mailing address	Po Box 51, Live Oak, FL 32064-0051