IRECOVERY LLC NPI 1497414023

NPI Information

  • NPI: 1497414023
  • Provider Name: IRECOVERY, LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 11815 FOUNTAIN WAY STE 300
    NEWPORT NEWS, VA
    ZIP 23606
  • Phone: (561) 235-7683

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NPI Details

IRECOVERY, LLC is an addiction medicine family medicine in Newport News, VA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IRECOVERY, LLC NPI is 1497414023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11815 FOUNTAIN WAY STE 300
NEWPORT NEWS, VA
ZIP 23606-448
Phone: (561) 235-7683
Fax: (561) 464-5501

The provider's authorized official is Mildred Cintron .
The authorized official title is Credentialing and has the following contact phone number (561) 235-7683.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 12/10/2021.

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
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5207QA0401XFamily MedicineAddiction MedicineYes
62084P0800XPsychiatry & NeurologyPsychiatryNo
72083A0300XPreventive MedicineAddiction MedicineNo

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: 3/30/2025

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