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RECOVIA LLC NPI 1568139616


NPI Information

NPI: 1568139616
Provider Name: RECOVIA LLC
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
337 E CORONADO RD STE 201
PHOENIX, AZ
ZIP 85004
Phone: (480) 712-4600
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RECOVIA LLC is an addiction (substance use disorder) psychologist in Phoenix, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. RECOVIA LLC NPI is 1568139616. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

337 E CORONADO RD STE 201
PHOENIX, AZ
ZIP 85004-583
Phone: (480) 712-4600
Fax: (480) 712-4600

The provider's authorized official is Melissa Richards .
The authorized official title is Hr Manager and has the following contact phone number (480) 712-4600.

The enumeration date for this NPI number is 8/26/2021 and was last updated on 9/9/2021.


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
1164W00000XLicensed Practical NurseNo
2174400000XSpecialistNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363A00000XPhysician AssistantNo
5101YM0800XCounselorMental HealthNo
6103TB0200XPsychologistCognitive & BehavioralNo
7103TP2701XPsychologistGroup PsychotherapyNo
81041C0700XSocial WorkerClinicalNo
9163W00000XRegistered NurseNo
10103TA0400XPsychologistAddiction (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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.