Organization · Type 2 NPI
Recovia LLC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1386313864
Active
Practice location
2411 W Northern Ave Ste 201
Phoenix, AZ 85021-4874
Fax (480) 219-7138
Mailing address
PO Box 20216
Phoenix, AZ 85036-0216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Licensed Practical Nurse | 164W00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1386313864
Recovia LLC's National Provider Identifier is 1386313864, issued on Sep 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 24, 2026.