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NEXUS RECOVERY SERVICES LLC NPI 1558886226


NPI Information

NPI: 1558886226
Provider Name: NEXUS RECOVERY SERVICES LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
388 BROOKLAWN AVE
BRIDGEPORT, CT
ZIP 06604
Phone: (203) 362-8884
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NEXUS RECOVERY SERVICES LLC is an addiction (substance use disorder) counselor in Bridgeport, CT. NEXUS RECOVERY SERVICES LLC NPI is 1558886226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

388 BROOKLAWN AVE
BRIDGEPORT, CT
ZIP 06604-728
Phone: (203) 362-8884
Fax: (203) 275-8598

The provider's authorized official is Domingos Dias .
The authorized official title is Ceo and has the following contact phone number (203) 362-8884.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 8/3/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
2163WP0808XRegistered NursePsychiatric/Mental HealthNo
3163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
4101YM0800XCounselorMental HealthNo
5101YP2500XCounselorProfessionalNo
6103TA0400XPsychologistAddiction (Substance Use Disorder)No
7104100000XSocial WorkerNo
82084P0800XPsychiatry & NeurologyPsychiatryNo
92084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
10261QM0850XClinic/CenterAdult Mental HealthNo
11363A00000XPhysician AssistantNo
12363L00000XNurse PractitionerNo
13364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
14364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo
15101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 4/28/2024

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