124 RECOVERY LLC NPI 1043039704

NPI Information

  • NPI: 1043039704
  • Provider Name: 124 RECOVERY LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 200 W BROADWAY ST
    FRANKFORT, KY
    ZIP 40601
  • Phone: (502) 352-4904

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NPI Details

124 RECOVERY LLC is an addiction (substance use disorder) counselor in Frankfort, KY. 124 RECOVERY LLC NPI is 1043039704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 W BROADWAY ST
FRANKFORT, KY
ZIP 40601-933
Phone: (502) 352-4904

The provider's authorized official is Eric Jockers .
The authorized official title is Owner and has the following contact phone number (502) 352-4904.

The enumeration date for this NPI number is 10/9/2024 and was last updated on 10/9/2024.

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)Yes
2101YM0800XCounselorMental HealthNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)No
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6171M00000XCase Manager/Care CoordinatorNo

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: 11/21/2025

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