# COACH RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coach Recovery LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710664271
- **Authorized official:** ADAM T ADKINS QBHA CEO (OWNER)
- **Authorized official phone:** (719) 517-8059

## Contact information

- **Practice address:** 2111 CLARKSON DR, COLORADO SPRINGS, CO 80909-2063
- **Practice address phone:** (719) 517-8059
- **Mailing address:** 2111 CLARKSON DR, COLORADO SPRINGS, CO 80909-2063
- **Mailing address phone:** (719) 517-8059

## 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 | — | — | — |
| 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