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Organization
COACH RECOVERY LLC
Active
Organization
COACH RECOVERY LLC
Active
Other names
Coach Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM T ADKINS QBHA CEO (OWNER)
(719) 517-8059
Entity
Organization
Contact information
Practice address
2111 CLARKSON DR, COLORADO SPRINGS, CO 80909-2063
(719) 517-8059
Mailing address
2111 CLARKSON DR, COLORADO SPRINGS, CO 80909-2063
(719) 517-8059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
06/28/2023
Last updated
06/19/2026
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