STAGES OF RECOVERY INC NPI 1245602994

NPI Information

NPI: 1245602994
Provider Name: STAGES OF RECOVERY, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4413 71ST ST STE G101
LUBBOCK, TX
ZIP 79424
Phone: (806) 412-4721
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STAGES OF RECOVERY, INC is a rehabilitation and substance use disorder clinic center in Lubbock, TX. STAGES OF RECOVERY, INC NPI is 1245602994. The provider is registered as an organization entity type.

The provider's business location address is:

4413 71ST ST STE G101
LUBBOCK, TX
ZIP 79424-319
Phone: (806) 412-4721
Fax: (806) 412-4721

The provider's authorized official is Stephen M Medley .
The authorized official title is Ceo and has the following contact phone number (806) 412-4721.

The enumeration date for this NPI number is 10/21/2015 and was last updated on 7/23/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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	3930-4377	OTHER	TEXAS	DSHS STATE LICENSE

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

NPI Synchronization or Removal

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