# NORTH STAR RECOVERY PLLC

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

## Provider details

- **NPI number:** 1558007005
- **Authorized official:** WILLIAM FOX DNP (DNP/OWNER)
- **Authorized official phone:** (623) 377-0825

## Contact information

- **Practice address:** 19590 W SAN MIGUEL AVE, LITCHFIELD PARK, AZ 85340-5422
- **Practice address phone:** (623) 377-0825
- **Mailing address:** 19590 W SAN MIGUEL AVE, LITCHFIELD PARK, AZ 85340-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 05/09/2022
- **Last updated:** 12/18/2023