# MODERN RECOVERY, LLC

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

## Provider details

- **NPI number:** 1477104362
- **Authorized official:** ANDREA STINER (BILLING DIRECTOR)
- **Authorized official phone:** (602) 694-9643

## Contact information

- **Practice address:** 4535 S LAKESHORE DR STE 1B, TEMPE, AZ 85282-7046
- **Practice address phone:** (203) 200-8556
- **Mailing address:** 11445 E VIA LINDA STE 2-617, SCOTTSDALE, AZ 85259-2655
- **Mailing address phone:** (602) 694-9643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2019
- **Last updated:** 12/11/2025