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RECOVIA LLC NPI 1427761055


NPI Information

NPI: 1427761055
Provider Name: RECOVIA LLC

Doing Business As: FOUNTAIN PLAZA TUCSON

Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
6060 N FOUNTAIN PLAZA DR STE 140
TUCSON, AZ
ZIP 85704
Phone: (480) 712-4600
Get Directions

RECOVIA LLC is an addiction (substance use disorder) psychologist in Tucson, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. RECOVIA LLC NPI is 1427761055. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fountain Plaza Tucson.

The provider's business location address is:

6060 N FOUNTAIN PLAZA DR STE 140
TUCSON, AZ
ZIP 85704-874
Phone: (480) 712-4600
Fax: (480) 219-7138

The provider's authorized official is Cindy Proffitt .
The authorized official title is Director Of Billing and has the following contact phone number (480) 712-4600.

The enumeration date for this NPI number is 12/28/2022 and was last updated on 8/11/2023.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4103T00000XPsychologistNo
5103TB0200XPsychologistCognitive & BehavioralNo
6103TC0700XPsychologistClinicalNo
7103TR0400XPsychologistRehabilitationNo
8163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
9163WP0808XRegistered NursePsychiatric/Mental HealthNo
10103TA0400XPsychologistAddiction (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
11427421098MEDICAIDARIZONA

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

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