# NEXUS RECOVERY SERVICES LLC

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

## Provider details

- **NPI number:** 1558886226
- **Authorized official:** MR. DOMINGOS DIAS (CEO)
- **Authorized official phone:** (203) 362-8884

## Contact information

- **Practice address:** 388 BROOKLAWN AVE, BRIDGEPORT, CT 06604-1728
- **Practice address phone:** (203) 362-8884
- **Practice address fax:** (203) 275-8598
- **Mailing address:** 175 BROOKLAWN AVE, BRIDGEPORT, CT 06604-2011
- **Mailing address phone:** (203) 362-8884
- **Mailing address fax:** (203) 275-8598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 08/03/2017