# ADAM INDIVIDUAL RECOVERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255159646
- **Authorized official:** LISA ADAMS (CEO)
- **Authorized official phone:** (614) 206-8165

## Contact information

- **Practice address:** 3128 E 17TH AVE STE L, COLUMBUS, OH 43219-2300
- **Practice address phone:** (614) 206-8165
- **Practice address fax:** (614) 532-5219
- **Mailing address:** 3128 E 17TH AVE, COLUMBUS, OH 43219-2300
- **Mailing address phone:** (614) 206-8165
- **Mailing address fax:** (614) 532-5219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024