HAPPY JOYOUS & FREE RECOVERY LIFE COACHING LLC NPI 1235712811

NPI Information

NPI: 1235712811
Provider Name: HAPPY, JOYOUS & FREE RECOVERY LIFE COACHING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 15D2244788

Address:
1104 LIBERTY ST
COVINGTON, IN
ZIP 47932
Phone: (765) 585-5060
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HAPPY, JOYOUS & FREE RECOVERY LIFE COACHING, LLC is a mental health (including community mental health center) clinic center in Covington, IN. HAPPY, JOYOUS & FREE RECOVERY LIFE COACHING, LLC NPI is 1235712811. The provider is registered as an organization entity type.

The provider's business location address is:

1104 LIBERTY ST
COVINGTON, IN
ZIP 47932-627
Phone: (765) 585-5060

The provider's authorized official is Timothy James Grzeskiewicz .
The authorized official title is Founder and has the following contact phone number (260) 444-9030.

The CLIA number assigned to this NPI record is 15D2244788 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/9/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 5/5/2024

NPI Synchronization or Removal

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