RECOVIA LLC NPI 1568139616

NPI Information

  • NPI: 1568139616
  • Provider Name: RECOVIA LLC
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 337 E CORONADO RD STE 201
    PHOENIX, AZ
    ZIP 85004
  • Phone: (480) 712-4600

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NPI Details

RECOVIA LLC is an addiction (substance use disorder) psychologist in Phoenix, 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 1568139616. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

337 E CORONADO RD STE 201
PHOENIX, AZ
ZIP 85004-583
Phone: (480) 712-4600
Fax: (480) 712-4600

The provider's authorized official is Melissa Richards .
The authorized official title is Hr Manager and has the following contact phone number (480) 712-4600.

The enumeration date for this NPI number is 8/26/2021 and was last updated on 10/12/2022.

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
2103TA0700XPsychologistAdult Development & AgingNo
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC0700XPsychologistClinicalNo
5103TP2701XPsychologistGroup PsychotherapyNo
61041C0700XSocial WorkerClinicalNo
7163W00000XRegistered NurseNo
8164W00000XLicensed Practical NurseNo
9174400000XSpecialistNo
10261QM1300XClinic/CenterMulti-SpecialtyNo
11363A00000XPhysician AssistantNo
12103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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