# RESURGE RECOVERY, LLC

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

## Provider details

- **NPI number:** 1548843360
- **Authorized official:** NICOLE LITVAK (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (216) 225-4464

## Contact information

- **Practice address:** 5241 MONTGOMERY ROAD, CINCINNATI, OH 45212
- **Practice address phone:** (513) 993-5241
- **Mailing address:** 5241 MONTGOMERY ROAD, CINCINNATI, OH 45212
- **Mailing address phone:** (513) 993-5241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | — | NULL | — |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 163WP2201X | Ambulatory Care Registered Nurse | — | NULL | — |
| 163WP2201X | Ambulatory Care Registered Nurse | — | — | — |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 08/17/2021