LIVING FREE RECOVERY PLLC NPI 1255881033

NPI Information

NPI: 1255881033
Provider Name: LIVING FREE RECOVERY, PLLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
400 UNIVERSITY DR
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 886-0224
Get Directions

LIVING FREE RECOVERY, PLLC is an addiction medicine family medicine in Prestonsburg, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. LIVING FREE RECOVERY, PLLC NPI is 1255881033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 UNIVERSITY DR
PRESTONSBURG, KY
ZIP 41653-080
Phone: (606) 886-0224
Fax: (606) 886-9908

The provider's authorized official is Mary Fairchild .
The authorized official title is Billing Manager and has the following contact phone number (606) 886-0224.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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	207Q00000X	Family Medicine		02805	KENTUCKY	No
2	207QA0401X	Family Medicine	Addiction Medicine	02805	KENTUCKY	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	0963201	MEDICARE PIN	KENTUCKY
2	64061328	MEDICAID	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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