# SQUARE 1 CLINICS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184258832
- **Authorized official:** MR. LAMBERT WAYNE LEROUX (CHAIRMAN)
- **Authorized official phone:** (727) 480-4981

## Contact information

- **Practice address:** 1212 COURT ST, CLEARWATER, FL 33756-5004
- **Practice address phone:** (727) 351-7239
- **Mailing address:** 1212 COURT ST, CLEARWATER, FL 33756-5004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/02/2020
- **Last updated:** 07/01/2021