PORTLAND RECOVERY GROUP LLC NPI 1093492969

NPI Information

  • NPI: 1093492969
  • Provider Name: PORTLAND RECOVERY GROUP LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1584 FOREST AVE
    PORTLAND, ME
    ZIP 04103
  • Phone: (207) 838-4546

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NPI Details

PORTLAND RECOVERY GROUP LLC is an addiction (substance use disorder) counselor in Portland, ME. PORTLAND RECOVERY GROUP LLC NPI is 1093492969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1584 FOREST AVE
PORTLAND, ME
ZIP 04103-314
Phone: (207) 838-4546

The provider's authorized official is Alexander Philip Coupe .
The authorized official title is Owner and has the following contact phone number (207) 838-4546.

The enumeration date for this NPI number is 6/30/2023 and was last updated on 6/30/2023.

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

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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