FOUR PILLARS RECOVERY LLC NPI 1679444269

NPI Information

  • NPI: 1679444269
  • Provider Name: FOUR PILLARS RECOVERY LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 03D2330182
  • Address: 674 E WHITE MOUNTAIN BLVD
    SUITE 1
    PINETOP, AZ
    ZIP 85935
  • Phone: (928) 228-0776

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NPI Details

FOUR PILLARS RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Pinetop, AZ. FOUR PILLARS RECOVERY LLC NPI is 1679444269. The provider is registered as an organization entity type.

The provider's business location address is:

674 E WHITE MOUNTAIN BLVD
SUITE 1
PINETOP, AZ
ZIP 85935
Phone: (928) 228-0776
Fax: (480) 240-9578

The provider's authorized official is Stephanie Ray .
The authorized official title is Owner and has the following contact phone number (928) 228-0776.

The CLIA number assigned to this NPI record is 03D2330182 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2025 and was last updated on 9/16/2025.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

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