IndividualActive
Treless Ivey
NPI 1285047472 · Children's Substance Abuse Rehabilitation Facility · Lake City, FL
Provider details
- NPI number
- 1285047472
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
439 Sw Michigan St
Lake City, FL 32025-0440
Phone: (352) 374-5600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 51
Live Oak, FL 32064-0051
Registry dates
- Enumerated
- 2014-06-05
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.