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RECOVERY GENIX LLC NPI 1225719404


NPI Information

NPI: 1225719404
Provider Name: RECOVERY GENIX LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 18D2285294

Address:
505 HUMSTON DR
LAWRENCEBURG, KY
ZIP 40342
Phone: (270) 543-7557
Get Directions

RECOVERY GENIX LLC is an addiction medicine preventive medicine in Lawrenceburg, KY. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. RECOVERY GENIX LLC NPI is 1225719404. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

505 HUMSTON DR
LAWRENCEBURG, KY
ZIP 40342-927
Phone: (270) 543-7557

The provider's authorized official is Debra Hardison .
The authorized official title is Ceo and has the following contact phone number (270) 543-7557.

The CLIA number assigned to this NPI record is 18D2285294 - other - behavioral health addicti with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2023 and was last updated on 10/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4171M00000XCase Manager/Care CoordinatorNo
5175T00000XPeer SpecialistNo
6363LA2200XNurse PractitionerAdult HealthNo
7363LG0600XNurse PractitionerGerontologyNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
92083A0300XPreventive MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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