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IRECOVERY LLC NPI 1093475949


NPI Information

NPI: 1093475949
Provider Name: IRECOVERY, LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 916-2162
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IRECOVERY, LLC is an addiction medicine preventive medicine in Fredericksburg, VA. 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. IRECOVERY, LLC NPI is 1093475949. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA
ZIP 22401-942
Phone: (540) 916-2162
Fax: (561) 464-5501

The provider's authorized official is Mildred Cintron .
The authorized official title is Credentialing and has the following contact phone number (561) 235-7683.

The enumeration date for this NPI number is 12/20/2021 and was last updated on 12/20/2021.


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
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
62083A0300XPreventive 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: 11/14/2023

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