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IRECOVERY LLC NPI 1831784180


NPI Information

NPI: 1831784180
Provider Name: IRECOVERY, LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
241 SE 1ST ST
BELLE GLADE, FL
ZIP 33430
Phone: (561) 464-5500
Get Directions

IRECOVERY, LLC is an addiction medicine preventive medicine in Belle Glade, FL. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. IRECOVERY, LLC NPI is 1831784180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

241 SE 1ST ST
BELLE GLADE, FL
ZIP 33430-501
Phone: (561) 464-5500
Fax: (561) 464-5501

The provider's authorized official is Mildred Cintron .
The authorized official title is Credentialing Specialist and has the following contact phone number (561) 235-7666.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 9/27/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
5103TC0700XPsychologistClinicalNo
61041C0700XSocial WorkerClinicalNo
7208100000XPhysical Medicine & RehabilitationNo
82084A0401XPsychiatry & NeurologyAddiction MedicineNo
92083A0300XPreventive MedicineAddiction MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1107100600MEDICAIDFLORIDA

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: 11/14/2023

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