Organization · Type 2 NPI

Active Recovery LLC

Addiction (Substance Use Disorder) Counselor · Shreveport, LA

NPI number 1285998716 Active

Practice location

3821 Southern Ave, Active Recovery Llc
Shreveport, LA 71106

Fax (318) 216-5868

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLAC 896 (LA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLA1454 (LA)
Community/Behavioral Health Agency 251S00000XLPC LMHP 2785 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285998716

Active Recovery LLC's National Provider Identifier is 1285998716, issued on Jun 29, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shreveport, LA. The record was last updated on Oct 24, 2025.