RECOVIA LLC NPI 1053035774

NPI Information

NPI: 1053035774
Provider Name: RECOVIA LLC
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Organization
:
Address: 6400 E GRANT RD STE 170
TUCSON, AZ
ZIP 85715
Phone: (480) 712-4600

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NPI Details

RECOVIA LLC is a clinical psychologist in Tucson, AZ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. RECOVIA LLC NPI is 1053035774. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

6400 E GRANT RD STE 170
TUCSON, AZ
ZIP 85715-800
Phone: (480) 712-4600
Fax: (602) 428-7045

The provider's authorized official is Lance Fritz .
The authorized official title is Ceo/managing Member and has the following contact phone number (602) 295-5247.

The enumeration date for this NPI number is 9/27/2022 and was last updated on 6/11/2025.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	103T00000X	Psychologist		No
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
4	101YM0800X	Counselor	Mental Health	No
5	103TP0016X	Psychologist	Prescribing (Medical)	No
6	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
7	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
8	225100000X	Physical Therapist		No
9	103TC0700X	Psychologist	Clinical	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1427421098	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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