Organization · Type 2 NPI

Recovia LLC

Psychologist · Phoenix, AZ

NPI number 1376212860 Active

Practice location

19636 N 27th Ave Ste 106
Phoenix, AZ 85027-4014

Call (480) 219-7178 Map

Fax (480) 219-7138

Mailing address

PO Box 20216
Phoenix, AZ 85036-0216

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist Primary 103T00000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Clinical Psychologist 103TC0700XNone listed
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Registered Nurse 163WA0400XNone listed
Adult Psychiatric/Mental Health Registered Nurse 163WP0809XNone listed
Licensed Practical Nurse 164W00000XNone listed
Physician Assistant 363A00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1376212860

Recovia LLC's National Provider Identifier is 1376212860, issued on Sep 8, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 24, 2026.