Organization · Type 2 NPI

Modern Recovery, LLC

Adolescent and Children Mental Health Clinic/Center · Tempe, AZ

NPI number 1477104362 Active

Practice location

4535 S Lakeshore Dr Ste 1B
Tempe, AZ 85282-7046

Mailing address

11445 E Via Linda Ste 2-617
Scottsdale, AZ 85259-2655

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center 261QH0100XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1477104362

Modern Recovery, LLC's National Provider Identifier is 1477104362, issued on Sep 23, 2019. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Tempe, AZ. The record was last updated on Dec 11, 2025.