INNOVATIVE RECOVERY SERVICES LLC NPI 1871033167

NPI Information

NPI: 1871033167
Provider Name: INNOVATIVE RECOVERY SERVICES LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2051 MARS AVE
APT D5
LAS CRUCES, NM
ZIP 88012
Phone: (575) 915-8367
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INNOVATIVE RECOVERY SERVICES LLC is an addiction (substance use disorder) counselor in Las Cruces, NM. INNOVATIVE RECOVERY SERVICES LLC NPI is 1871033167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2051 MARS AVE
APT D5
LAS CRUCES, NM
ZIP 88012-712
Phone: (575) 915-8367

The provider's authorized official is Juan Mendoza .
The authorized official title is Ladac, Owner and has the following contact phone number (575) 915-8367.

The enumeration date for this NPI number is 3/6/2017 and was last updated on 3/6/2017.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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