Organization · Type 2 NPI
Lost Souls Recovery, LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Clementon, NJ
NPI number
1225920408
Active
Practice location
130 White Horse Pike
Clementon, NJ 08021-4159
Fax (570) 622-9102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
6 other providers at this address
- Lost Souls Recovery, LLCSubstance Use Disorder Rehabilitation Clinic/Center Clementon, NJ NPI 1386160448
- Barbara Kelly, PhDPsychologist Clementon, NJ NPI 1841410487
- David Gary Krefetz, DOChild & Adolescent Psychiatry Physician Clementon, NJ NPI 1366414799
- Howard Hassman, DOFamily Medicine Physician Clementon, NJ NPI 1891915427
- Karen Eve Locker, MSS, LCSWClinical Social Worker Clementon, NJ NPI 1457533671
- Steven Jeromeg Glass, MDPsychiatry Physician Clementon, NJ NPI 1659599918
About NPI 1225920408
Lost Souls Recovery, LLC's National Provider Identifier is 1225920408, issued on Jul 21, 2025. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Clementon, NJ. The record was last updated on Jul 21, 2025.