BOLD RECOVERY INC. NPI 1912785163

NPI Information

NPI: 1912785163
Provider Name: BOLD RECOVERY, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3407 W 6TH ST STE 700
LOS ANGELES, CA
ZIP 90020
Phone: (213) 263-9549
Get Directions

BOLD RECOVERY, INC. is an addiction (substance use disorder) counselor in Los Angeles, CA. BOLD RECOVERY, INC. NPI is 1912785163. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3407 W 6TH ST STE 700
LOS ANGELES, CA
ZIP 90020-512
Phone: (213) 263-9549

The provider's authorized official is Alan Johnson .
The authorized official title is Program Director and has the following contact phone number (213) 327-4209.

The enumeration date for this NPI number is 9/19/2023 and was last updated on 9/19/2023.

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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No
4	101Y00000X	Counselor		No
5	104100000X	Social Worker		No
6	101YM0800X	Counselor	Mental Health	No
7	101YP2500X	Counselor	Professional	No
8	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »