Organization
RECOVIA LLC
Active
Parent organization
RECOVIA LLC
Other names
Recovia LLC Grant RD
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECOVIA LLC
Authorized official
LANCE FRITZ (CEO/MANAGING MEMBER)
(602) 295-5247
Entity
Organization
Contact information
Practice address
6400 E GRANT RD STE 170, TUCSON, AZ 85715-3800
(480) 712-4600
(602) 428-7045
Mailing address
PO BOX 20216, PHOENIX, AZ 85036-0216
(480) 712-4600
(602) 428-7045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427421098
—
AZ
Enumeration date
09/27/2022
Last updated
06/11/2025
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